SW Florida Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME106313 Issued in FL

Legal business name

SW FLORIDA RADIOLOGY LLC

Practice address

3949 Evans Ave Ste 301B
Fort Myers, FL 33901-9313

Phone

(239) 214-0633

Fax

(239) 204-2063

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Edgardo Castillo, MD

Title

Owner

Phone

(239) 770-6408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669997961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE STE 301B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019313",
            "telephone_number": "239-214-0633",
            "fax_number": "239-204-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE STE 301B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019313",
            "telephone_number": "239-214-0633",
            "fax_number": "239-204-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW FLORIDA RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-770-6408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME106313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith S. Susko, M.D.
• Morgan Elise Sutherland
• Lucinda Sutton
• Inesa Sviridova, PA
• SW Florida Anesthesia Services LLC
• SW Rehabilitation Center Inc
• Haley Swackhammer, PTA
• Swag Mental Health Services LLC
• David Swan, MS,CCC/SLP
• Janice Lynn Swanger

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.