Provider Demographics
NPI:1780634972
Name:A. FUEREDI RADIOLOGY P.A.
Entity Type:Organization
Organization Name:A. FUEREDI RADIOLOGY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FUEREDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-793-7717
Mailing Address - Street 1:4330 TAMIAMI TRL E
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-6756
Mailing Address - Country:US
Mailing Address - Phone:239-793-7717
Mailing Address - Fax:239-793-7151
Practice Address - Street 1:4330 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-6756
Practice Address - Country:US
Practice Address - Phone:239-793-7717
Practice Address - Fax:239-793-7151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN NUMBER