Organization
RADIOLOGY ASSOCIATES PA
Active
Other names
Florida Endovascular Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL FALCO (CEO)
(386) 274-7118
Entity
Organization
Contact information
Practice address
1890 LPGA BLVD, SUITE 140, DAYTONA BEACH, FL 32117-7130
(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
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00199
MEDICARE
FL
Enumeration date
03/26/2008
Last updated
02/08/2010
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