EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC; NPI #1407898984

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	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Body Imaging	2085B0100X
Diagnostic Ultrasound	2085U0001X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Radiation Oncology	2085R0203X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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

NPI Number 1407898984

LBN Legal business name EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC

Authorized official AL FALCO - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/11/2006

Last updated 02/08/2010 - About 16 years ago

Identifiers

Other

V2749

BLUE CROSS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC

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

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