| NPI | 1093757486 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-12 |
| Last Updated | 2010-02-08 |
| Authorized Official | Al Falco CEO Phone: 3862747118 |
| Mailing Address | 1673 Mason Ave, Suite 305 Daytona Beach, FL 32117-5515 United States Phone: (386) 274-7118 | Fax: (386) 274-6173 📍 View Map |
| Primary Practice Address | 1195 Dunlawton Ave Port Orange, FL 32127-4745 United States Phone: (386) 763-5300 | Fax: (386) 322-1616 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | FL | V2885 | Blue Cross |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2085B0100X – Radiology, Body Imaging | FL | — |
| No | 2085N0700X – | FL | — |
| No | 2085N0904X – | FL | — |
| No | 2085P0229X – Radiology, Pediatric Radiology | FL | — |
| No | 2085R0203X – Radiology, Therapeutic Radiology | FL | — |
| No | 2085R0204X – Radiology, Vascular & Interventional Radiology | FL | — |
| No | 2085U0001X – Radiology, Diagnostic Ultrasound | FL | — |
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | FL | — |
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About NPI 1093757486
East Central Florida Outpatient Imaging Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093757486. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Port Orange, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093757486?
NPI 1093757486 belongs to East Central Florida Outpatient Imaging Llc, a Radiology, Diagnostic Radiology in Port Orange, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093757486 active?
The current status of NPI 1093757486 in the NPPES registry is Active. The record was last updated on 2010-02-08.
What specialty is NPI 1093757486?
NPI 1093757486 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093757486?
You can verify NPI 1093757486 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093757486?
The primary practice address on file for NPI 1093757486 is 1195 Dunlawton Ave, Port Orange, FL 32127-4745. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093757486 issued?
NPI 1093757486 was first issued (enumerated) on 2006-06-12. The NPPES record was last updated on 2010-02-08.
Practice Location Map
East Central Florida Outpatient Imaging Llc is located at 1195 Dunlawton Ave, Port Orange, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as East Central Florida Outpatient Imaging Llc. All records sourced from the CMS NPPES registry.