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
3 PINE CONE DR
SUITE 101
PALM COAST, FL  32137-8685
Phone: 386-446-5200
Fax: 386-446-1866
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Pediatric Radiology 2085P0229X
Radiation Oncology 2085R0203X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC

NPI Number 1407898984
Legal business name
LBN		 EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC
Authorized official AL FALCO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/11/2006
Last updated 02/08/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Other: V2749 BLUE CROSS

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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