EAST CENTRAL FLORIDA OUTPATIENT IMAGING LLC NPI 1760424071

NPI Information

NPI: 1760424071
Provider Name: EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC

Doing Business As: SAINT AUGUSTINE IMAGING CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
190 SOUTHPARK BLVD
SUITE 101
ST AUGUSTINE, FL
ZIP 32086
Phone: (904) 829-0764
Get Directions

EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC is a diagnostic radiology radiology in St Augustine, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC NPI is 1760424071. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Saint Augustine Imaging Center.

The provider's business location address is:

190 SOUTHPARK BLVD
SUITE 101
ST AUGUSTINE, FL
ZIP 32086-120
Phone: (904) 829-0764
Fax: (904) 829-2221

The provider's authorized official is Al Falco .
The authorized official title is Ceo and has the following contact phone number (386) 274-7118.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2085B0100X	Radiology	Body Imaging	FLORIDA	No
2	2085N0700X	Radiology	Neuroradiology	FLORIDA	No
3	2085N0904X	Radiology	Nuclear Radiology	FLORIDA	No
4	2085P0229X	Radiology	Pediatric Radiology	FLORIDA	No
5	2085R0203X	Radiology	Therapeutic Radiology	FLORIDA	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	FLORIDA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	FLORIDA	No
8	2085R0202X	Radiology	Diagnostic Radiology	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V2739	OTHER	FLORIDA	BLUE CROSS
2	K5690	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	ECFOI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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