NPIMap

Organization Active NPI

Florida Gulfcoast Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1588023261
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME64815 Issued in FL
Legal business name
FLORIDA GULFCOAST MEDICAL IMAGING LLC
Practice address
9822 Tree Tops Lake Rd
Tampa, FL 33626-4764
Phone
(304) 549-5310
Fax
(606) 644-0444
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Joseph L Skeens, MD
Title
President
Phone
(304) 549-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME64815 FL Primary

Addresses

Primary practice location

9822 Tree Tops Lake Rd
Tampa, FL 33626-4764

Mailing address

9822 Tree Tops Lake Rd
Tampa, FL 33626-4764
Phone (304) 549-5310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1588023261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 TREE TOPS LAKE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264764",
            "telephone_number": "304-549-5310",
            "fax_number": "606-644-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9822 TREE TOPS LAKE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264764",
            "telephone_number": "304-549-5310",
            "fax_number": "606-644-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULFCOAST MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "SKEENS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-549-5310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME64815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.