Prime Radiology of Maitland Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME62144 Issued in FL

Legal business name

PRIME RADIOLOGY OF MAITLAND INC

Practice address

7960 Forest City Rd
Suite 102
Orlando, FL 32810-2938

Phone

(863) 535-5544

Fax

(321) 348-5777

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Thomas Brown, MD

Title

Owner

Phone

(863) 535-5544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1720533870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7960 FOREST CITY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102938",
            "telephone_number": "863-535-5544",
            "fax_number": "321-348-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7960 FOREST CITY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102938",
            "telephone_number": "863-535-5544",
            "fax_number": "321-348-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME RADIOLOGY OF MAITLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-535-5544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME62144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Hospitalist Group PA
• Prime Imaging Center LLC
• Prime Nursing
• Prime OB/GYN P.a.
• Prime Performance Therapy LLC
• Prime Radiology of Pine Hills, Inc
• Prime Synergy LLC
• Prime Therapeutics Pharmacy LLC
• Prime Therapeutics Pharmacy LLC
• Primecare Lake Nona, LLC

• Diagnostic Radiology Physician in Orlando, FL
• Providers in Orlando, 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 Dec 20, 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.