Organization · Type 2 NPI

East Central Florida Outpatient Imaging LLC

Diagnostic Radiology Physician · Port Orange, FL

NPI number 1225606296 Active

Practice location

5440 S. Williamson Blvd, Suite 102
Port Orange, FL 32128

Call (386) 274-7118 Map

Fax (386) 274-6173

Mailing address

PO Box 678454
Dallas, TX 75267-8454

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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NPI record

NPI: 1225606296
Entity type: Organization (Type 2)
Issued: Jun 15, 2021
Last updated: Aug 30, 2021
Status: Active
Subpart: Yes of East Central Florida Outpatient Imaging LLC

Other names

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Radiology Associates Port Orange West · doing business as

Authorized official

Al Falco
CEO
(386) 274-7118

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225606296

East Central Florida Outpatient Imaging LLC's National Provider Identifier is 1225606296, issued on Jun 15, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Port Orange, FL. The record was last updated on Aug 30, 2021.