Organization

East Central Florida Outpatient Imaging, Llc

May also be knows as Palm Coast Imaging Center

Diagnostic Radiology Physician in Palm Coast, FL(View on Map)

Legal Business Name

East Central Florida Outpatient Imaging, Llc

Also Known As

Palm Coast Imaging Center

NPI Number

1407898984

NPI Type

Organization

Enumeration Date

06/11/2006

Contact
Information

Purpose

Mailing
Location

Address

1673 MASON AVE
3 PINE CONE DR

City

Daytona Beach
Palm Coast

State

FL
FL

Postal Code

32117-5515
32137-8685

Country

US
US

Telephone Number

(386) 274-7118
(386) 446-5200

Authorized Official

Name

Mr. Al Falco

Title or Position

CEO

Telephone Number

(386) 274-7118

Identifiers

Identifier

V2749

Identifier State

FL

Identifier Issuer

BLUE CROSS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/08/2010

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