Central Florida Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CENTRAL FLORIDA RADIOLOGY LLC

Practice address

942 Saxon Blvd
Suite 1-a
Orange City, FL 32763-8358

Phone

(386) 456-5293

Fax

(386) 456-5142

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mickey Pickler

Title

VP

Phone

(407) 971-0123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Favelukes, MD

  • Nuclear Radiology Physician
  • Orange City, FL
  • NPI 1790874717
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1255374286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "address_2": "SUITE 1-A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-456-5293",
            "fax_number": "386-456-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "address_2": "SUITE 1-A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-456-5293",
            "fax_number": "386-456-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "PICKLER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-971-0123"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Health Care Services Corp
• Central Florida Heart Associates PA
• Central Florida Medical Associates, Inc
• Central Florida Medical Imaging PA
• Central Florida Pulmonary Consultants
• Central Florida Rheumatology Consultants LLC
• Central Florida Therapy Solutions
• Sameer Chadha
• Jennifer Lyne Chandler, PTA
• Jay C Chanmugam, DO

• Diagnostic Radiology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.