Active NPI
Afo Imaging Inc
Doing business as Advanced Diagnostic Group
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- AFO IMAGING INC
- Doing business as
- Advanced Diagnostic Group
- Practice address
- 3104 W Waters Ave
Suite 106
Tampa, FL 33614-2800 - Phone
- (813) 463-4444
- Fax
- (813) 849-6349
- NPI assigned
- Oct 31, 2006
- Last updated
- Jul 22, 2024
- Organization subpart
- Yes
- Parent organization
- AFO IMAGING INC DBA ADVANCED DIAGNOSTIC GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Greg Gambill
- Title
- Vice President & Associate General
- Phone
- (303) 414-2037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
3104 W Waters Ave
Suite 106
Tampa, FL 33614-2800
Mailing address
8300 W Sunrise Blvd
Plantation, FL 33322-5406
Phone (754) 206-6226
Other names 1
- Advanced Diagnostic Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 10
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130402000361 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Orlando, FL |
| O20130402000385 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Tampa, FL |
| O20130402000395 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Kissimmee, FL |
| O20130919000689 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Orlando, FL |
| O20131017002002 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Brandon, FL |
| O20150430002388 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Palm Beach Gardens, FL |
| O20150825004033 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Lakeland, FL |
| O20170105000649 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Jupiter, FL |
| O20190729000281 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: West Palm Beach, FL |
| O20190729003342 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9335121011 | Practice locations: Lutz, FL |
National Provider Directory
National Provider Directory- Part of
- Afo Imaging Inc
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Advanced Diagnostic Group
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1033145669
Member Of
Locations
500 University Blvd
Ste 107
Jupiter, FL 33458
Phone (561) 775-6600
500 University Blvd
Ste 107114
Jupiter, FL 33458
Phone (561) 775-6600
22299 State Road 54
Ste 104
Lutz, FL 33549
Phone (813) 328-2020
6388 Silver Star Rd
Ste 1A
Orlando, FL 32818
Phone (407) 298-2829
6388 Silver Star Rd
Ste 1H
Orlando, FL 32818
Phone (407) 298-2828
775 N Semoran Blvd
Ste A
Orlando, FL 32807
Phone (407) 581-4099
607 W Dr Martin Luther King Jr Blvd
Ste 103
Tampa, FL 33603
Phone (813) 238-3833
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 106
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1497702542
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1013959220
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1114129293
-
- Diagnostic Radiology Physician
- Coral Springs, FL
- NPI 1932138898
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1326230095
-
- Diagnostic Radiology Physician
- Gulf Breeze, FL
- NPI 1053383786
-
- Diagnostic Radiology Physician
- Bradenton, FL
- NPI 1538436480
-
- Specialist
- Miami, FL
- NPI 1477580603
-
- Diagnostic Radiology Physician
- Pembroke Pines, FL
- NPI 1750721502
-
- Diagnostic Radiology Physician
- St Petersburg, FL
- NPI 1790962983
-
- Vascular & Interventional Radiology Physician
- Boynton Beach, FL
- NPI 1295709152
-
- Diagnostic Radiology Physician
- Miami Beach, FL
- NPI 1982802716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1740366764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 W SUNRISE BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225406",
"telephone_number": "754-206-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 W WATERS AVE",
"address_2": "SUITE 106",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142800",
"telephone_number": "813-463-4444",
"fax_number": "813-849-6349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFO IMAGING INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AFO IMAGING INC DBA ADVANCED DIAGNOSTIC GROUP",
"enumeration_date": "2006-10-31",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "GAMBILL",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "VICE PRESIDENT & ASSOCIATE GENERAL",
"authorized_official_telephone_number": "303-414-2037",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Diagnostic Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.