Active NPI
Innovative Imaging Associates, PLLC
- Diagnostic Radiology Physician
- Brooksville, FL
National Provider Identifier
1053885962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- INNOVATIVE IMAGING ASSOCIATES, PLLC
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613 - Phone
- (888) 476-6295
- Fax
- (813) 336-6962
- NPI assigned
- Jan 14, 2019
- Last updated
- Jan 16, 2019
- 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
- Dr. David Huang, MD
- Title
- Managing Member
- Phone
- (646) 265-5388
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613
Mailing address
805 W. Azeele Street
Tampa, FL 33606
Phone (813) 481-0595
National Provider Directory
National Provider DirectoryLocations
250 N Wickham Rd
#M
Melbourne, FL 32935
Phone (321) 637-2600
805 W Azeele St
Tampa, FL 33606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1982607388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1053885962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W. AZEELE STREET",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-481-0595",
"fax_number": "813-336-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "34613",
"telephone_number": "888-476-6295",
"fax_number": "813-336-6962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE IMAGING ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "HUANG",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "646-265-5388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
- Richard Ilagan, PTA
- Imad E Tarabishy MD PA
- Imperial Mental Health Counseling, LLC
- Indian River Emergency Group, LLC
- Brian J Ingleright, D.O.
- Institute of Interventional Pain Management PA
- Integrated Regional Laboratories Pathology Services, LLC
- Janice Chaneco Ipo, PMHNP-BC
- Maham Irfan
- Muhammad Saad Irfan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.