Organization Active NPI

Florida Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
National Provider Identifier
1497510978
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FLORIDA RADIOLOGY ASSOCIATES LLC
Practice address
600 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(747) 924-9005
NPI assigned
Feb 14, 2024
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Patrick Santore Jr.
Title
Vice President
Phone
(813) 924-1577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

600 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

1895 Tyler St Ste 207
Hollywood, FL 33020-4828
Phone (877) 224-8003

Other practice location 1

17021 US Highway 441
Mount Dora, FL 32757-6734
Phone (747) 293-9005

Other practice location 2

951 N Washington Ave
Titusville, FL 32796-2163
Phone (877) 224-8003

Other practice location 3

1451 El Camino Real
The Villages, FL 32159-0041
Phone (747) 293-9005

Other practice location 4

3800 Meggison Rd
The Villages, FL 32163-3028
Phone (747) 293-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, MD, TX, CO, CA, WI, MI, SC, AZ, KY, KS, IL, CT, NC, MN, GA, NM, PA, TN, VI, NY, IA, VA, NV, OH, IN, AL, PR, WV, NJ31 enrollments

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
O20240328001743 FL Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 64 practitioners
O20240814000589 HI Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Honokaa, HI; Honolulu, HI
O20240910004858 MD Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Ellicott City, MD; Owings Mills, MD
O20241015004734 TX Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 13 practitioners
Practice locations: Tomball, TX; Terrell Hills, TX; San Antonio, TX; Roanoke, TX; Richardson, TX; Plano, TX; Houston, TX; Lakeway, TX…
O20241015004783 CO Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO; Denver, CO
O20241028002152 CA Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 6 practitioners
Practice locations: Bakersfield, CA; Elk Grove, CA; Laguna Hills, CA; Los Angeles, CA; San Diego, CA; Sherman Oaks, CA; Valencia, CA
O20241031001475 WI Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 3 practitioners
Practice locations: Elkhart Lake, WI; Madison, WI; Racine, WI
O20241121001374 MI Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 5 practitioners
Practice locations: Birmingham, MI; Bloomfield Hills, MI; Grand Rapids, MI; Kalamazoo, MI; Oakland, MI; Orchard Lake, MI; West Bloomfield, MI
O20241126003568 SC Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 3 practitioners
Practice locations: Hilton Head Island, SC; Johns Island, SC; Blythewood, SC
O20250211000791 AZ Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Paradise Valley, AZ; Scottsdale, AZ
O20250415003484 KY Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Louisville, KY; Paint Lick, KY
O20250416001784 KS Part B Supplier - Clinic/Group Practice 2769829522 Practice locations: Olathe, KS
O20250506000397 IL Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 3 practitioners
Practice locations: Mahomet, IL; Northbrook, IL
O20250509002541 CT Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, CT
O20250513001307 NC Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 3 practitioners
Practice locations: Cary, NC; Weaverville, NC; Denver, NC
O20250519001245 MN Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Byron, MN
O20250603000476 GA Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 5 practitioners
Practice locations: Albany, GA; Alpharetta, GA; Brookhaven, GA; Marietta, GA; Savannah, GA
O20250804000553 NM Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20250804001526 PA Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Downingtown, PA; Glenmoore, PA
O20250806004034 TN Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN
O20250812003100 VI Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: St Croix, VI
O20250814002972 NY Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; New York, NY
O20250822000528 IA Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Iowa City, IA
O20250826000575 VA Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA
O20251105001581 NV Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV
O20260109000581 OH Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Lima, OH; Strongsville, OH
O20260130001535 IN Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20260320002626 AL Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL
O20260424003220 PR Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 2 practitioners
Practice locations: Bayamon, PR; San Juan, PR
O20260430000510 WV Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Hurricane, WV
O20260612000336 NJ Part B Supplier - Clinic/Group Practice 2769829522 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ; Paramus, NJ

National Provider Directory

National Provider Directory
Tax ID family
Florida Radiology Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 131

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.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1497510978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 TYLER ST STE 207",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204828",
            "telephone_number": "877-224-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "747-924-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17021 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576734",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962163",
            "country_code": "US",
            "telephone_number": "877-224-8003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321590041",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Meggison Rd",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321633028",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "SANTORE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-924-1577",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.