Fawcett Medical Imaging Pa

LBN: Fawcett Medical Imaging Pa
Fawcett Medical Imaging Pa is an health care organization with primary practice located at 21298 Olean Blvd , Port Charlotte FL 33952-6705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Fawcett Medical Imaging Pa can be contacted via phone (423) 826-1276, or through Bielfelt, Bruce via phone (727) 942-5103.

Contact Information

Primary practice address
21298 Olean Blvd Port Charlotte FL 33952-6705
Phone: (423) 826-1276
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bielfelt, Bruce Doctor of Medicine (MD)
Phone: (727) 942-5103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1720068497
LBN Legal business name Fawcett Medical Imaging Pa
DBA Doing business as
Authorized official Bielfelt, Bruce Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Feb 27th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720068497 NPPES
Florida MEDICAID 270659800
Florida Other 74912

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