Organization
FLORIDA RADIOLOGY ASSOCIATES PA
Active
Parent organization
FLORIDA RADIOLOGY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA RADIOLOGY ASSOCIATES PA
Authorized official
CHARLES MAY (EXECUTIVE DIRECTOR)
(407) 767-5306
Entity
Organization
Contact information
Practice address
400 CELEBRATION PL, CELEBRATION, FL 34747-4970
(407) 767-0433
Mailing address
PO BOX 150505, ALTAMONTE SPRINGS, FL 32715-0505
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00552
BCBS GROUP NUMBER
FL
Enumeration date
11/03/2006
Last updated
08/07/2007
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