| Organization Name: | AVENTURA OPEN MRI, INC |
| NPI Number: | 1235534058 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAGI SHAKED (PRESIDENT) |
| Mailing Address: | 815 Se 1st Avenue, Suite B Hallandale |
| State: | FL US |
| Postal Code: | 33009 |
| Phone Number: | 3057671809 |
| Fax Number: | 3054020515 |
| NPI Enumeration Date: | 10/23/2014 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |