Organization
ADVANCED IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P ONEILL MD (OWNER/PHYSICIAN)
(386) 774-7226
Entity
Organization
Contact information
Practice address
1639 N VOLUSIA AVE, ORANGE CITY, FL 32763-3843
(386) 774-7226
(388) 774-7227
Mailing address
1639 N VOLUSIA AVE, ORANGE CITY, FL 32763-3843
(386) 774-7226
(388) 774-7227
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007181000
—
FL
Enumeration date
01/23/2006
Last updated
04/19/2023
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