Organization
TRANSFLORIDA MOBILE DIAGNOSTIC SERVICES LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD PYLES R. T. (R.) (PRESIDENT)
(888) 929-2224
Entity
Organization
Contact information
Practice address
805 S ORLANDO AVE, SUITE F, WINTER PARK, FL 32789-4869
(888) 929-2224
(877) 972-9327
Mailing address
805 S ORLANDO AVE, SUITE F, WINTER PARK, FL 32789-4869
(888) 929-2224
(877) 972-9327
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
HCC3857
FL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC3857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105409
WELLCARE HMO
FL
01
—
16-00698
EVERCARE HMO
FL
05
—
510018600
—
FL
01
—
630001602
RAILROAD MEDICARE
FL
01
—
P00237663
RAILROAD MEDICARE
FL
Enumeration date
07/08/2005
Last updated
01/26/2011
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