Provider Demographics
NPI:1891230512
Name:FLORIDA INTERNATIONAL ULTRASOUND
Entity Type:Organization
Organization Name:FLORIDA INTERNATIONAL ULTRASOUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RPVI, RDMS, RVT, RDC
Authorized Official - Phone:786-326-2966
Mailing Address - Street 1:13342 SW 28TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7124
Mailing Address - Country:US
Mailing Address - Phone:786-326-2966
Mailing Address - Fax:
Practice Address - Street 1:13342 SW 28TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-7124
Practice Address - Country:US
Practice Address - Phone:786-326-2966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty