Organization
EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC
Active
Parent organization
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Other names
Radiology Associates Daytona Beach Shores
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC
Authorized official
LISA ADAMS (CEO)
(386) 274-7118
Entity
Organization
Contact information
Practice address
3048 S ATLANTIC AVE STE 102, DAYTONA BEACH SHORES, FL 32118-6102
(386) 274-7118
(386) 276-6173
Mailing address
PO BOX 678454, DALLAS, TX 75267-8454
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
09/04/2024
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