National Provider Identifier Database

EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Diagnostic Radiology

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


Contact Information

EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
5440 S WILLIAMSON BLVD
PORT ORANGE, FL32117
Phone: 386-274-7118
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC

NPI Number 1083283055
Legal business name
LBN
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Authorized official AL FALCO - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 06/23/2021
Last updated 06/23/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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