Organization
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL FALCO (CEO)
(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) 274-7118
(386) 274-6173
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
FL
2085N0700X
Neuroradiology Physician
—
FL
2085N0904X
Nuclear Radiology Physician
—
FL
2085P0229X
Pediatric Radiology Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
2085R0203X
Therapeutic Radiology Physician
—
FL
2085R0204X
Vascular & Interventional Radiology Physician
—
FL
2085U0001X
Diagnostic Ultrasound Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB5313
RAILROAD MEDICARE
FL
Enumeration date
06/09/2006
Last updated
02/08/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us