Active NPI
Radiology Associates PA
- Vascular & Interventional Radiology Physician
- Daytona Beach, FL
National Provider Identifier
1396917787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES PA
- Practice address
- 1890 Lpga Blvd
Suite 140
Daytona Beach, FL 32117-7130 - Phone
- (386) 274-7118
- Fax
- (386) 274-6173
- NPI assigned
- Mar 26, 2008
- 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
- Mr. Al Falco
- Title
- Ceo
- Phone
- (386) 274-7118
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| 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 |
|---|---|---|---|
| 00199 | Other | FL | MEDICARE |
Other names 1
- Florida Endovascular Specialists
National Provider Directory
National Provider DirectoryLocations
1673 Mason Ave
Ste 305
Daytona Beach, FL 32117
Phone 3862747118 ext. 7704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1396917787",
"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": "386-274-7118",
"fax_number": "386-274-6173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2010-02-08",
"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": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "00199",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Endovascular Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daytona Beach, FL
- Jonathan Refran Rabusa, APRN, FNP-C
- Anna Rachman, APRN
- Margarita Racsa, M.D.
- Ian D. Raden, O.D.
- Radiation Oncology Associates of Central Florida,PA
- Radiology Imaging Associates PA
- Radiology Imaging Associates, LLC
- Radiology Imaging Associates, LLC
- Jennifer Rafalovich, DO
- Debbie Jane Rafferty, OT ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.