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East Central Florida Outpatient Imaging, Llc
Diagnostic Ultrasound Physician in St Augustine, Florida
NPI 1760424071

East Central Florida Outpatient Imaging, Llc is a Diagnostic Ultrasound Physician based in Daytona Beach, FL and is specialized in Diagnostic Ultrasound. East Central Florida Outpatient Imaging, Llc practices in St Augustine, FL. The NPI Number for East Central Florida Outpatient Imaging, Llc is 1760424071 and holds a License No. (Florida).

The current practice location address for East Central Florida Outpatient Imaging, Llc is 190 Southpark Blvd, St Augustine, FL and can be reached out via phone at 904-829-0764 and via fax at 904-829-2221. You can also correspond with East Central Florida Outpatient Imaging, Llc through the mailing address at 1673 MASON AVE, DAYTONA BEACH, FL - 32117-5515 (mailing address contact number: 386-274-7118).

Location: 190 Southpark Blvd, St Augustine, FL, 32117-5515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760424071
Provider Name
East Central Florida Outpatient Imaging, Llc
Credential
Provider Entity Type
Organization
Address
190 Southpark Blvd, St Augustine, FL, 32117-5515
Phone Number
904-829-0764
Fax Number
904-829-2221
Provider Enumeration Date
06/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2739 01 FL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
190 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4120
Phone Number
904-829-0764
Fax Number
904-829-2221
person
Provider Business Mailing Address Details
Address
190 Southpark Blvd
City
St Augustine
State
Florida
Zip
32086-4120
Phone Number
904-829-0764
Fax Number
904-829-2221
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
(Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
(Florida)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
(Florida)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
(Florida)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
(Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
(Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
(Florida)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
(Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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