Active NPI
Florida Endovascular Specialists LLC
- Vascular & Interventional Radiology Physician
- Daytona Beach, FL
National Provider Identifier
1255644969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- FLORIDA ENDOVASCULAR SPECIALISTS LLC
- Practice address
- 1890 Lpga Blvd
Suite 140
Daytona Beach, FL 32117-7130 - Phone
- (386) 274-7250
- Fax
- (386) 274-7259
- NPI assigned
- Jul 22, 2010
- Last updated
- Jul 22, 2010
- Organization subpart
- Yes
- Parent organization
- RADIOLOGY ASSOCIATES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Al Falco
- Title
- Ceo
- Phone
- (386) 274-7118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
1890 Lpga Blvd
Suite 140
Daytona Beach, FL 32117-7130
Mailing address
1673 Mason Ave
Suite 305
Daytona Beach, FL 32117-5515
Phone (386) 274-7118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000NN | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
National Provider Directory
National Provider Directory- Part of
- Rad Aso PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1255644969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 MASON AVE",
"address_2": "SUITE 305",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175515",
"telephone_number": "386-274-7118",
"fax_number": "386-274-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 LPGA BLVD",
"address_2": "SUITE 140",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177130",
"telephone_number": "386-274-7250",
"fax_number": "386-274-7259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA ENDOVASCULAR SPECIALISTS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIOLOGY ASSOCIATES PA",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "FALCO",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "386-274-7118",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "000NN",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
- Florida Cancer Specialists & Research Institute, LLC
- Florida Department of Health (Volusia County Health Department)
- Florida Department of Veterans Affairs
- Florida Department of Veterans Affairs (Emory L Bennett State Veterans Nursing Home)
- Florida Em-I Medical Services PA
- Florida Essential Living
- Florida Health Care Plan Inc
- Florida Health Care Plan, Inc (Florida Health Care Plans Inc.)
- Florida Health Care Plans Inc (Florida Health Care Plan Pharmacy)
- Florida Home Medical Equipment, Inc (Atenda Home Medical Equipment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.