EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC (NPI# 1407898984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407898984 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Other Organization Name | PALM COAST IMAGING CENTER |
| Practice Address |
3 Pine Cone Dr Suite 101 Palm Coast FL 32137-8685 |
| Mailing Address |
1673 Mason Ave Suite 305 Daytona Beach FL 32117-5515 |
| Practice Telephone | 3864465200 |
| Practice Fax Number | 3864461866 |
| Mailing Telephone | 3862747118 |
| Mailing Fax Number | 3862746173 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | MR. AL FALCO (CEO) |
| Authorized Official Telephone | 3862747118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
FL | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | V2749 | 01 |
| Other Name | Type Code |
|---|---|
| Palm Coast Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129324 | East Central Florida Outpatient Imaging, LLC | Radiology | 2090 Saxon Blvd, Suite A, Deltona, FL 32725-3251 | 2014-02-05 |
| 1760424071 | East Central Florida Outpatient Imaging, LLC | Radiology | 190 Southpark Blvd, Suite 101, St Augustine, FL 32086-4120 | 2006-06-12 |
| Street Address |
3 PINE CONE DR SUITE 101 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927702 | Alexandra Marion Pamela Kostick | Ophthalmology | 3 Pine Cone Dr, Suite 104, Palm Coast, FL 32137-8685 | 2005-10-25 |
| 1457604522 | Advanced Dental Care Palm Coast | Dentist | 3 Pine Cone Dr, Palm Coast, FL 32137-8685 | 2012-10-26 |
| 1619270790 | Oceans Dental Group Inc | Denturist | 3 Pine Cone Dr, Suite 108, Palm Coast, FL 32137-8685 | 2010-12-13 |
| 1700039161 | Alexandra Kostick Md Pa | Ophthalmology | 3 Pine Cone Dr, Suite 104, Palm Coast, FL 32137-8685 | 2008-10-29 |
| 1902067671 | Leavitt Medical Associates of Florida Inc | Dermatology | 3 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8685 | 2008-06-24 |
| 1023288909 | Robert J Wrable | Dentist | 3 Pine Cone Dr, Suite 108, Palm Coast, FL 32137-8685 | 2008-03-06 |
| 1568589240 | Frederick A Fox | Dentist | 3 Pine Cone Dr, Suite 108, Palm Coast, FL 32137-8685 | 2007-03-26 |
| 1255403689 | First Coast Pulmonary Associates | Family Medicine | 3 Pine Cone Dr, Suite # 106, Palm Coast, FL 32137-8685 | 2006-11-14 |
| 1477574044 | James D Bernard | Dermatology | 3 Pine Cone Dr, Unit 102, Palm Coast, FL 32137-8685 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
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| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1255956280 | Radiology Consultants of Hollywood Inc | Radiology | 310 W 41st St, Miami Beach, FL 33140-3603 | 2020-06-16 |
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| 1982225009 | Radiology and Nuclear Medicine Services LLC | Radiology | 1020 Nw 94th Ter, Plantation, FL 33322-4816 | 2020-04-29 |
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1316576705 | Morton Plant Mease Health Services Inc | Radiology | 1840 Mease Dr Ste 103, Safety Harbor, FL 34695-6603 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC.
| 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.