Organization · Type 2 NPI

East Central Florida Outpatient Imaging, LLC

Diagnostic Radiology Physician · St. Augustine, FL

NPI number 1760424071 Active

Practice location

190 Southpark Blvd, Suite 101
St. Augustine, FL 32086-4120

Call (904) 829-0764 Map

Fax (904) 829-2221

Mailing address

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

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.

9 other providers at this address

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About NPI 1760424071

East Central Florida Outpatient Imaging, LLC's National Provider Identifier is 1760424071, issued on Jun 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 8, 2010.