Provider Demographics
NPI:1598910515
Name:MEDFUND LLC
Entity Type:Organization
Organization Name:MEDFUND LLC
Other - Org Name:HORIZON OF AVENTURA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-925-3490
Mailing Address - Street 1:20880 W DIXIE HWY
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1151
Mailing Address - Country:US
Mailing Address - Phone:305-933-9565
Mailing Address - Fax:305-933-8105
Practice Address - Street 1:20880 W DIXIE HWY
Practice Address - Street 2:SUITE 111
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1151
Practice Address - Country:US
Practice Address - Phone:305-933-9565
Practice Address - Fax:305-933-8105
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDFUND LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)