Organization Active NPI

Mid Florida Radiology Centers P.a

  • Body Imaging Physician
  • Orange City, FL
National Provider Identifier
1033292891
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
ME75332 Issued in FL
Legal business name
MID FLORIDA RADIOLOGY CENTERS P.A
Practice address
955 Town Center Dr
Suite 200
Orange City, FL 32763-8255
Phone
(386) 775-1612
Fax
(386) 775-1289
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ajay Kumar Verma, MD
Title
Medical Director
Phone
(386) 775-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X ME75332 FL Primary

Addresses

Primary practice location

955 Town Center Dr
Suite 200
Orange City, FL 32763-8255

Mailing address

955 Town Center Dr
Suite 200
Orange City, FL 32763-8255
Phone (386) 775-1612

National Provider Directory

National Provider Directory

Locations

955 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 218-4016

955 Town Center Dr
Orange City, FL 32763
Phone (386) 775-1612

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1033292891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR",
            "address_2": "SUITE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638255",
            "telephone_number": "386-775-1612",
            "fax_number": "386-775-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 TOWN CENTER DR",
            "address_2": "SUITE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638255",
            "telephone_number": "386-775-1612",
            "fax_number": "386-775-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA RADIOLOGY CENTERS P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "386-775-1612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME75332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.