Organization Name: | MID FLORIDA RADIOLOGY CENTERS P.A |
NPI Number: | 1033292891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AJAY KUMAR VERMA (MEDICAL DIRECTOR) |
Mailing Address: | 955 Town Center Dr Suite 200 Orange City |
State: | FL US |
Postal Code: | 327638255 |
Phone Number: | 3867751612 |
Fax Number: | 3867751289 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | ME75332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |