Healthcare Provider Details
I. General information
NPI: 1003891979
Provider Name (Legal Business Name): AMERICAN HEALTH IMAGING OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2005
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1925 N MILLS AVE
ORLANDO FL
32803-1432
US
IV. Provider business mailing address
1800 CENTURY BLVD NE SUITE 1400
ATLANTA GA
30345-3202
US
V. Phone/Fax
- Phone: 407-895-9110
- Fax:
- Phone: 404-296-5887
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SCOTT
WARREN
ARANT
Title or Position: CEO
Credential:
Phone: 404-296-5887