Organization
FLORIDA EAST COAST IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FLYNN (PRESIDENT)
(727) 793-9300
Entity
Organization
Contact information
Practice address
5005 PORT ST JOHN PKWY, PORT ST JOHN, FL 32927-4305
(321) 636-9393
Mailing address
PO BOX 15659, CLEARWATER, FL 33766-5659
(727) 793-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278373800
—
FL
01
—
DH0129
RR MCR
FL
Enumeration date
03/21/2007
Last updated
05/21/2008
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