Tomoka Diagnostic Inc.

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

JR3724900 Issued in FL

Legal business name

TOMOKA DIAGNOSTIC INC.

Practice address

1510 Mason Ave
Daytona Beach, FL 32117-4549

Phone

(386) 274-5676

Fax

(386) 274-3605

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John August Ortolani, M.D.

Title

Ceo

Phone

(386) 274-3620

Specialties & licenses 1

Addresses

Other names 1

• Tomoka Mobile MRI Inc. Former legal business name

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821156662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174549",
            "telephone_number": "386-274-5676",
            "fax_number": "386-274-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MASON AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174549",
            "telephone_number": "386-274-5676",
            "fax_number": "386-274-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMOKA DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTOLANI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AUGUST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-274-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "FL",
            "license": "JR3724900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomoka Mobile MRI Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Naomi Y Tipton, RNFA, CNP
• Sean Tirney, MD
• Terri Lee Titus, B.A.
• Eric Frank Tocci, M.D.
• Brooke Dyan Tolland, PA-C
• Tomoka Therapy Inc
• Mary-Helen Toppin, BCBA
• Giovanni Torres, MD
• Brittany Torrey
• Michael Tortorea

• Magnetic Resonance Imaging Radiologic Technologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.