Active NPI
Mid Florida Radiology Centers P.a
- Body Imaging Physician
- Orange City, FL
National Provider Identifier
1033292891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- ME75332
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 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 DirectoryLocations
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
- Metcare RX Orange City Pharm SVC
- Michael P Desouza MD PA
- Jessie L Michael, APRN
- Mid Florida Cancer Centers
- Mid Florida Medical
- Mid-Florida Cancer Centers LLC (Mid-Florida Hematology & Oncology Centers PA)
- Mid-Florida Hematology & Oncology Centers, PA
- Midland Florida Infectious Diseases Specialists PL
- Elizabeth Jean Miller, MD
- Lara Beth Miller, RDMS, RVT, RDCS
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.