ADVANCED IMAGING CENTER OF LEESBURG LLC (NPI# 1346406006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346406006 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING CENTER OF LEESBURG LLC |
| Other Organization Name | NAVARRE OPEN MRI |
| Practice Address |
7552 Navarre Pkwy Suite 29 Navarre FL 32566-7305 |
| Mailing Address |
211 N 1st St Leesburg FL 34748-5150 |
| Practice Telephone | 8509360911 |
| Practice Fax Number | 8509366766 |
| Mailing Telephone | 3524350111 |
| Mailing Fax Number | 3527876672 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | LESLIE J OLANDER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3524350111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Navarre Open MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033200332 | Advanced Imaging Center of Leesburg LLC | Clinic/Center | 13940 Highway 441, Suite 201, The Villages, FL 32159-8908 | 2006-09-28 |
| Street Address |
7552 NAVARRE PKWY SUITE 29 |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-7305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801141 | Pamela Jill Svendsen | Family Medicine | 7552 Navarre Pkwy, Suite 21, Navarre, FL 32566-7305 | 2005-12-13 |
| 1891311536 | Andrea H Wingett | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2020-06-18 |
| 1114540234 | Stacey Michelle Lewis | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2020-05-22 |
| 1174158331 | Hailey Elizabeth Gillam | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2020-03-09 |
| 1730730748 | Kasey Nicole Dearing | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2019-09-23 |
| 1568012318 | Tyler Ryan Retzloff | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2019-09-13 |
| 1053886028 | Melissa Denise Anderson | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2018-10-05 |
| 1770069098 | Nicole Buscemi | Occupational Therapist | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2018-07-19 |
| 1871092726 | David Garcia | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566 | 2018-02-06 |
| 1942708045 | Dylan Craig Meadows | Behavior Technician | 7552 Navarre Pkwy, Navarre, FL 32566-7305 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.