Centers for Advanced Imaging Inc
Organization Active NPI Diagnostic Radiology Physician · Palatka, FL
NPI 1851488068 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1851488068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- ME68132 (FL)
- Legal business name
- CENTERS FOR ADVANCED IMAGING INC
- Practice address
- 3918 Crill Avenue
Palatka, FL 32178 - Phone
- (386) 328-3559
- Fax
- (386) 328-3411
- NPI assigned
- Oct 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Brent D Brandon, MD
- Title
- President Owner
- Phone
- (386) 328-3559
Practitioners 1
-
Brent D Brandon, M.D.
National Provider Directory
Locations
2745 Rebecca Ln
Ste C
Orange City, FL 32763
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | ME68132 | FL | Yes |
Addresses
Primary practice location
3918 Crill Avenue
Palatka, FL 32178
Mailing address
PO Box 838
Palatka, FL 32178-0838
Phone (386) 328-3559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2644754700 | Medicaid | FL |
Other names
- Radiology Associates of Putnam Inc
Other providers in Palatka, FL
- Shannon Terry Carrigan
- Lawrence Alan Carroll
- Brenda R Castells
- Michelle Lee Casto
- Lucia F Castro
- Centerwell Health Services (Certified), Inc.
- Chance 2 Change
- Elizabeth Mary Chang
- Steve Allen Chapman
- John Graham Charles
All providers in Palatka, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.