# FLORIDA DIAGNOSTIC PORTABLE IMAGING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427051887
- **Authorized official:** MR. BRUCE D COTTI R.T.(R) (OWNER)
- **Authorized official phone:** (321) 984-8001

## Contact information

- **Practice address:** 5201 BABCOCK ST NE, STE 2, PALM BAY, FL 32905-4637
- **Practice address phone:** (321) 984-8001
- **Practice address fax:** (321) 728-0523
- **Mailing address:** 5201 BABCOCK ST NE, STE 2, PALM BAY, FL 32905-4637
- **Mailing address phone:** (321) 984-8001
- **Mailing address fax:** (321) 728-0523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 06/05/2008
