DIAGNOSTIC OUTPATIENT CENTERS INC (NPI# 1568419109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568419109 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC OUTPATIENT CENTERS INC |
| Other Organization Name | DOCS |
| Practice Address |
2603 Kurt St Eustis FL 32726-6234 |
| Practice Telephone | 3524836100 |
| Practice Fax Number | 3524836110 |
| Mailing Telephone | 3524836100 |
| Mailing Fax Number | 3524836110 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-08-31 |
| Authorized Official Name | LARRY J WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 7278962202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DOCS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063469690 | Diagnostic Outpatient Centers Inc | Clinic/Center | 400 12th Ave N, Suite 400, St Petersburg, FL 33701-1120 | 2006-05-28 |
| 1437665015 | Diagnostic Outpatient Centers Inc | Radiology | 400 12th Ave N, St Petersburg, FL 33701-1120 | 2017-12-19 |
| 1225484413 | Diagnostic Outpatient Centers Inc | Clinic/Center | 400 12th Ave N, St Petersburg, FL 33701-1120 | 2016-05-06 |
| Street Address |
2603 KURT ST |
| City | EUSTIS |
| State | FL |
| Zip Code | 32726-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255365854 | Jeffrey J Bush | Radiology | 2603 Kurt St, Eustis, FL 32726-6234 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508497637 | Alton Emory Kinlaw | Pharmacist | 99 Hillside Drive, Eustis, FL 32726 | 2020-01-28 |
| 1053833426 | Nalia Elizabeth Alicea | Behavioral Analyst | 949 Marietta Lane, Eustis, FL 32726 | 2017-07-07 |
| 1760840938 | Beautiful Angels LLC | Exclusive Provider Organization | 2208 Virginia Avenue, Eustis, FL 32726 | 2016-02-03 |
| 1902274624 | Breakthrough Transitions LLC | Social Worker | 2201 S. Bay Street, Suite B-2, Eustis, FL 32726 | 2015-09-11 |
| 1104223916 | Integrative Physical Medicine of Mount Dora LLC | Specialist | 2818 S Bay St, Eustis, FL 32726 | 2014-11-21 |
| 1154763290 | Irina N Krasilova | Pharmacist | 1950 Sr 19 N, Eustis, FL 32726 | 2013-07-17 |
| 1063773679 | Mangalmurti LLC | Pharmacy | 17435 Us Highway 441, Suite-102, Eustis, FL 32726 | 2012-05-31 |
| 1477813806 | My Darling Angels Home Companion Services | Private Vehicle | 102 Morningview Dr, Eustis, FL 32726 | 2012-05-18 |
| 1801166186 | Akhlaqus Chowdhury | Pharmacist | 2005 North Sr 19, Eustis, FL 32726 | 2012-01-04 |
| 1316269244 | Kamlesh Patel | Pharmacist | 2705 Cotton Ct, Eustis, FL 32726 | 2010-02-19 |
| Find all providers in zip 32726 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.