ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC (NPI# 1487750949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487750949 |
Entity Type | Organization |
Organization Name | ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC |
Other Organization Name | MID FLORIDA IMAGING |
Practice Address |
1150 S. Semoran Blvd Suite D Orlando FL 32807-1424 |
Mailing Address |
1150 S. Semoran Blvd Suite C Orlando FL 32807-1424 |
Practice Telephone | 4074825253 |
Practice Fax Number | 4074825254 |
Mailing Telephone | 4074825253 |
Mailing Fax Number | 4074825254 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2011-04-04 |
Authorized Official Name | DR. RONALD I LANDAU (OWNER) |
Authorized Official Telephone | 4074825253 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
HCC4167 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BCBS PROVIDER NUMBER | V2791 | 01 |
Other Name | Type Code |
---|---|
MID FLORIDA IMAGING | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235466871 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 2055 N University Dr, Coral Springs, FL 33071-6132 | 2009-11-03 |
1144378993 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 601 N. Congress Ave, Suite 311, Delray Beach, FL 33445-4621 | 2007-01-08 |
1760588230 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 819 E. Oak Str, Suite C, Kissimmee, FL 34744-5842 | 2006-09-15 |
1275639767 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 195 S. Westmonte Dr, Suite 1118, Altamonte Springs, FL 32714-4219 | 2006-09-15 |
1861598310 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 6342 W. Colonial Dr, Suite C, Orlando, FL 32818-7859 | 2006-09-15 |
1982709788 | Altamonte Springs Diagnostic Imaging Inc | Radiology | 882 S Kirkman Rd, Suite 103-104, Orlando, FL 32811-2600 | 2006-09-14 |
Street Address |
1150 S. SEMORAN BLVD SUITE D |
City | ORLANDO |
State | FL |
Zip Code | 32807-1424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417943242 | Ephrain Enrique Coronado | Radiology | 1150 S. Semoran Blvd, Suite D, Orlando, FL 32807-1424 | 2005-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922668037 | Javier Urshela | Rehabilitation Counselor | 1150 S Semoran Blvd Suite A, Orlando, FL 32807 | 2019-06-20 |
1326602087 | Darnell Maurice Avent | Counselor | 7835 Pine Crossing Circle, Apt: 1038, Orlando, FL 32807 | 2019-04-29 |
1689185233 | Janea Mark | Technician/Technologist | 2242 Gator Drive, 326, Orlando, FL 32807 | 2017-10-22 |
1659813863 | Yaritza Joan Mattei Collado | Speech-Language Pathologist | 1136 Farwell, Orlando, FL 32807 | 2016-11-07 |
1316495815 | Grimarie Fernandez | Counselor | 1601 N. Goldenrod Rd. Suite 2, A Great Life, Inc, Orlando, FL 32807 | 2016-09-14 |
1922473958 | Adam Brett Lowery | Counselor | 1400 Semoran Blvd, Orlando, FL 32807 | 2015-12-02 |
1396115093 | Peterson Jean-baptiste | Counselor | 7835 Pine Crossing Circle, Apt. 1027, Orlando, FL 32807 | 2015-10-07 |
1396121380 | Sonia Vega | Case Management | 1601 N. Goldenrod Rd., Orlando, FL 32807 | 2015-08-03 |
1386036069 | Guidewell Emergency Medicine Doctors | Clinic/Center | 1706 N Semoran Blvd, Orlando, FL 32807 | 2015-03-04 |
1821339276 | Cac- Florida Medical Centers LLC | Clinic/Center | 737 South Semoran Blvd, Orlando, FL 32807 | 2013-03-11 |
Find all providers in zip 32807 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
1598201998 | Prime Radiology of Pine Hills, Inc | Radiology | 828 Mercy Drive, Suite 4, Orlando, FL 32808 | 2017-01-10 |
1366829707 | Florida United Radiology, Lc | Radiology | 8732 Fernwicke Ct, Orlando, FL 32819-3830 | 2015-05-06 |
1326440926 | Pedro Miguel Soler Sr. | Radiology | 3310 Northglen Dr, Orlando, FL 32806-6339 | 2014-09-25 |
1881000149 | Shalin Mahesh Soni | Radiology | 601 E Rollins St Ste 400, Orlando, FL 32803-1248 | 2014-07-08 |
1770843179 | Charles William George | Radiology | 3519 Cullen Lakeshore Drive, Orlando, FL 32812 | 2012-05-21 |
1972860831 | Hsiang-jer Tseng | Radiology | 601 E Rollins St Ste 470a, Orlando, FL 32803 | 2012-04-17 |
1134390743 | Amir Paydar | Radiology | 2650 Dade Ave, Apt 1422, Orlando, FL 32804-4607 | 2008-03-23 |
1649452517 | Unitedrads, LLC | Radiology | 11253 S Apopka Vineland Rd, Orlando, FL 32836 | 2007-12-03 |
1225189897 | Robert Marshall | Radiology | 51 W Kaley St, Orlando, FL 32806-2942 | 2007-01-12 |
Find all providers in ORLANDO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.