East Central Florida Outpatient Imaging Llc in Daytona Beach - Diagnostic Radiology

East Central Florida Outpatient Imaging Llc - NPI 1558530006

East Central Florida Outpatient Imaging Llc is a Diagnostic Radiology in Daytona Beach, Florida. East Central Florida Outpatient Imaging Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for East Central Florida Outpatient Imaging Llc is 1558530006. The last update date is 2010-02-08.

East Central Florida Outpatient Imaging Llc's current location address is 1673 Mason Ave, Daytona Beach, Florida. You can contact this provider via phone number 3862747118 and fax number 3862746173. The mailing address for East Central Florida Outpatient Imaging Llc is 1673 Mason Ave, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization East Central Florida Outpatient Imaging Llc
Address 1673 Mason Ave, Daytona Beach, Florida
Phone Number 3862747118
Fax Number 3862746173
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Falco Al
Telephone Number 3862747118

NPI Number Detail

NPI Number 1558530006
Provider Enumeration Date 2008-02-28
Last Updated Date 2010-02-08

Provider Mailing Address Detail

Address 1673 Mason Ave
City Daytona Beach
State Florida (FL)
Post Code 321175515
Phone Number 3862747118
Fax Number 3862746173

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K5690 FL MEDICARE ID

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FAQs about East Central Florida Outpatient Imaging Llc

What is the unique provider identifier assigned to East Central Florida Outpatient Imaging Llc?

The East Central Florida Outpatient Imaging Llc has been issued the NPI (National Provider Identifier) 1558530006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where East Central Florida Outpatient Imaging Llc is geographically located?

The East Central Florida Outpatient Imaging Llc is physically situated at the following location: 1673 Mason Ave, Daytona Beach, FL, 321175515.

What is East Central Florida Outpatient Imaging Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The East Central Florida Outpatient Imaging Llc's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the East Central Florida Outpatient Imaging Llc receive the assignment of its 1558530006 from the Centers for Medicare & Medicaid Services?

The East Central Florida Outpatient Imaging Llc was issued its 1558530006 by the Centers for Medicare & Medicaid Services on 2008-02-28.

When was the information pertaining to East Central Florida Outpatient Imaging Llc most recently updated or revised?

The details related to East Central Florida Outpatient Imaging Llc, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-08.

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