1053398438 NPI number — STONEHILL INVESTMENT PARTNERSHIP, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053398438 NPI number — STONEHILL INVESTMENT PARTNERSHIP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STONEHILL INVESTMENT PARTNERSHIP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BOSTON DIAGNOSTIC IMAGING - ORLANDO
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053398438
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 S. LINCOLN AVE.
Provider Second Line Business Mailing Address:
#15
Provider Business Mailing Address City Name:
CLEARWATER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33756-5945
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-446-6760
Provider Business Mailing Address Fax Number:
727-441-2465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1751 S. ORANGE AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-872-7777
Provider Business Practice Location Address Fax Number:
407-872-7742
Provider Enumeration Date:
12/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ABOUD
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
Authorized Official Title or Position:
C.E.O.
Authorized Official Telephone Number:
727-446-6760

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X , with the licence number:  HCC4624 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 059921200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 470001429 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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