Organization · Type 2 NPI

East Central Florida Outpatient Imaging LLC

Diagnostic Radiology Physician · Daytona Beach, FL

NPI number 1245271675 Active

Practice location

1673 Mason Ave, Suite # 305
Daytona Beach, FL 32117-5515

Call (386) 274-7118 Map

Fax (386) 274-6173

Mailing address

1673 Mason Ave Ste 305
Daytona Beach, FL 32117-5516

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XNone listed
Neuroradiology Physician 2085N0700XNone listed
Nuclear Radiology Physician 2085N0904XNone listed
Pediatric Radiology Physician 2085P0229XNone listed
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Therapeutic Radiology Physician 2085R0203XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Diagnostic Ultrasound Physician 2085U0001XNone listed

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

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About NPI 1245271675

East Central Florida Outpatient Imaging LLC's National Provider Identifier is 1245271675, issued on Jun 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 17, 2026.