FLORIDA EAST COAST IMAGING LLC (NPI# 1629194923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629194923 |
| Entity Type | Organization |
| Organization Name | FLORIDA EAST COAST IMAGING LLC |
| Practice Address |
5005 Port St John Pkwy Port St John FL 32927-4305 |
| Mailing Address |
Po Box 15659 Clearwater FL 33766-5659 |
| Practice Telephone | 3216369393 |
| Mailing Telephone | 7277939300 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | JOSEPH FLYNN (PRESIDENT) |
| Authorized Official Telephone | 7277939300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278373800 | 05 | |
| FL | RR MCR | DH0129 | 01 |
| Street Address |
5005 PORT ST JOHN PKWY |
| City | PORT ST JOHN |
| State | FL |
| Zip Code | 32927-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405820 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5005 Port St John Pkwy, Port St John, FL 32927-4305 | 2010-04-14 |
| 1215172499 | Arlene H Radcliff | Nurse Practitioner | 5005 Port St John Pkwy, Suite 2600, Port St John, FL 32927-4305 | 2008-12-02 |
| 1851568844 | Lena Weinman-greenberg | Obstetrics & Gynecology | 5005 Port St John Pkwy, Suite 2300, Port St John, FL 32927-4305 | 2008-05-09 |
| 1164698932 | Benjamin Reed Nettleton | Family Medicine | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 | 2008-05-01 |
| 1801964788 | Daniela E Rusovici | Psychiatry & Neurology | 5005 Port St John Pkwy, Suite 2200, Port St John, FL 32927-4305 | 2006-12-01 |
| 1497858724 | Wendy L Worsley | Family Medicine | 5005 Port St John Pkwy, Ste 2500, Port St John, FL 32927-4305 | 2006-09-05 |
| 1376510909 | Julie Lynn Flick | Family Medicine | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 | 2006-03-02 |
| 1528052065 | Eugene H Go | Internal Medicine | 5005 Port St John Pkwy, Suite 2600, Port St John, FL 32927-4305 | 2005-09-09 |
| 1245224518 | Shivani Mitra | Pediatrics | 5005 Port St John Pkwy, 2500, Port St John, FL 32927-4305 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565023 | Susan Guattery Coleman | Dietitian, Registered | 7075 Us Highway 1, Diabetes Education Suite 300, Port Saint John, FL 32927 | 2014-11-10 |
| 1245668086 | Betty Lopez Munarriz | Contractor | 5660 Fay Blvd, Cocoa, FL 32927 | 2013-10-14 |
| 1427499599 | Gary Ray Rudolph | Pharmacist | 7125 Us 1, Cocoa, FL 32927 | 2013-07-17 |
| 1659716165 | Tania Melissa Johnson | Social Worker | 5355 Date Palm St, Cocoa, FL 32927 | 2013-05-10 |
| 1538473137 | Irwin Jaraplasan | Dentist | 5235 Fay Blvd, Cocoa, FL 32927 | 2010-08-06 |
| 1386856110 | Tri M Le | Pharmacist | 6257 U.S. Hwy 1, Cocoa, FL 32927 | 2007-05-04 |
| 1134218357 | Rameshwar N Mathur Md Pa | Family Medicine | 6250 N Us 1, Cocoa, FL 32927 | 2006-10-12 |
| 1922035088 | Albino Y Kuon | Psychiatry & Neurology | 4360 North Us1, Cocoa, FL 32927 | 2006-06-26 |
| 1801855424 | Faye Ellen O'rourke | Nurse Practitioner | 7227 N. Us Hwy. 1, Port St. John, FL 32927 | 2006-03-22 |
| 1063965275 | Tiffany Williams-brown | Nurse Practitioner | 860 Camp Rd, Cocoa, FL 32927 | 2016-07-25 |
| Find all providers in zip 32927 | ||||
| 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 | PORT ST JOHN |
| Zip Code | 32927 |
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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.