Active NPI
Radiology Associates of Central Florida L L C
- Diagnostic Radiology Physician
- The Villages, FL
National Provider Identifier
1609445865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C
- Practice address
- 1451 El Camino Real
The Villages, FL 32159-0041 - Phone
- (352) 787-5858
- NPI assigned
- Jun 22, 2021
- 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
- Joshua Lee Floyd, PHD
- Title
- Director, Risk Management
- Phone
- (365) 352-2583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1451 El Camino Real
The Villages, FL 32159-0041
Mailing address
734 N 3Rd St Ste 115
Leesburg, FL 34748-5287
Phone (352) 787-5858
Other practice location 1
1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983
Phone (352) 787-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100952302 | Medicaid | FL |
Other names 1
- Lake Medical Imaging
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Leesburg, FL
- NPI 1982652095
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1609445865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "734 N 3RD ST STE 115",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485287",
"telephone_number": "352-787-5858",
"fax_number": "352-728-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 EL CAMINO REAL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321590041",
"telephone_number": "352-787-5858"
}
],
"practiceLocations": [
{
"address_1": "1400 N US Highway 441 Ste 510",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321598983",
"country_code": "US",
"telephone_number": "352-787-5858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "FLOYD",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DIRECTOR, RISK MANAGEMENT",
"authorized_official_telephone_number": "365-352-2583",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100952302",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lake Medical Imaging",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lake Medical Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.