Organization Active NPI

Central Florida Diagnostics PA

  • Radiological Physics Physician
  • Celebration, FL
National Provider Identifier
1386884708
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
License
ME73258 Issued in FL
Legal business name
CENTRAL FLORIDA DIAGNOSTICS PA
Practice address
502 Greenbrier Ave
Celebration, FL 34747-4647
Phone
(407) 566-8320
Fax
(407) 966-4857
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Soheil Sooudi, M.D.
Title
President
Phone
(407) 566-8320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0205X ME73258 FL Primary

Addresses

Primary practice location

502 Greenbrier Ave
Celebration, FL 34747-4647

Mailing address

502 Greenbrier Ave
Celebration, FL 34747-4647
Phone (407) 566-8320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1386884708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GREENBRIER AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474647",
            "telephone_number": "407-566-8320",
            "fax_number": "407-966-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GREENBRIER AVE",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474647",
            "telephone_number": "407-566-8320",
            "fax_number": "407-966-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA DIAGNOSTICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "SOOUDI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-566-8320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiological Physics",
            "state": "FL",
            "license": "ME73258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.