East Central Florida Outpatient Imaging LLC

NPI #1225606296 in Port Orange, Florida

Provider Information

NPI Number
1225606296
Entity Type
Organization
Organization Name
East Central Florida Outpatient Imaging LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jun 15, 2021
Last Updated
Aug 30, 2021

Practice Location

Address
5440 S. WILLIAMSON BLVD
Address 2
SUITE 102
State
Florida
ZIP Code
32128
Phone
(386) 274-7118

Authorized Official

Name
AL FALCO
Title
CEO
Phone
(386) 274-7118

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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East Central Florida Outpatient Imaging LLC

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