Organization Active NPI

Radiology Associates of Central Florida L L C

  • Diagnostic Radiology Physician
  • The Villages, FL
National Provider Identifier
1609445865
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on Jun 23, 2021

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100952302MedicaidFL

Other names 1

  • Lake Medical Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.