Organization
RADIOLOGY IMAGING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL FALCO (EXECUTIVE ADMINISTRATOR)
(386) 274-7118
Entity
Organization
Contact information
Practice address
1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117-5515
(386) 274-7118
(386) 274-6173
Mailing address
1673 MASON AVE, SUITE 305, DAYTONA BEACH, FL 32117-5515
(386) 274-6143
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054456600
—
FL
Enumeration date
10/07/2005
Last updated
01/27/2025
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