Organization
ATLANTIC MOBILE IMAGING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON B THURMAN (PRESIDENT/ OWNER)
(386) 329-8270
Entity
Organization
Contact information
Practice address
1400 HAND AVE STE A, ORMOND BEACH, FL 32174-8195
(386) 239-8270
(386) 239-8273
Mailing address
1400 HAND AVE, STE A, ORMOND BEACH, FL 32174
(386) 239-8270
(386) 239-8273
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC6683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510012700
—
FL
01
—
630001722
MEDICARE RAILROAD
FL
01
—
HCC6683
AHCA
FL
Enumeration date
07/01/2005
Last updated
07/21/2022
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