1326086406 NPI number — WEST VOLUSIA MEDICAL IMAGING, INC.

Table of content: (NPI 1326086406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326086406 NPI number — WEST VOLUSIA MEDICAL IMAGING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST VOLUSIA MEDICAL IMAGING, 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:
Provider Other Organization Name Type Code:
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:
1326086406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2555 PONCE DE LEON BLVD
Provider Second Line Business Mailing Address:
4TH FLOOR
Provider Business Mailing Address City Name:
CORAL GABLES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33134-6010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-702-5135
Provider Business Mailing Address Fax Number:
305-441-2144

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
830 COMMED BLVD
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
ORANGE CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32763-8300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-456-0111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOROWITZ
Authorized Official First Name:
DIANE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
866-363-5204

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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