Organization
ORMOND RADIOLOGY PARTNERSHIP LLC
Active
Organization
ORMOND RADIOLOGY PARTNERSHIP LLC
Active
Other names
Open MRI of Daytona
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JT TENER (HUMAN RESOURCES/CREDENTIALING)
(386) 673-8040
Entity
Organization
Contact information
Practice address
201 BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1316
(386) 254-6800
(386) 254-6995
Mailing address
500 MEMORIAL CIR, SUITE B, ORMOND BEACH, FL 32174-5054
(386) 673-8040
(386) 267-0693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250976801
—
FL
01
—
CD5225
RR MEDICARE GROUP #
FL
01
—
V3003
BCBS GROUP NUMBER
FL
Enumeration date
04/21/2006
Last updated
12/09/2008
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