Central Florida Imaging of Leesburg, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CENTRAL FLORIDA IMAGING OF LEESBURG, LLC

Practice address

106 W North Blvd Ste 104
Leesburg, FL 34748-5039

Phone

(321) 318-6758

NPI assigned

Mar 12, 2019

Last updated

Aug 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Ott, DCNPI 1437191020

Title

Ceo

Phone

(352) 702-4275

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Marc Ott, D.C.

  • Chiropractor
  • Oviedo, FL
  • NPI 1437191020
  Authorized official Same address or phone

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1982162681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "407-977-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W NORTH BLVD STE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485039",
            "telephone_number": "321-318-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA IMAGING OF LEESBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-702-4275",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rose Cecil, NP
• Centerwell Senior Primary Care (FL) Inc. (CenterWell Senior Primary Care of Leesburg)
• Central Florida Associated Primary Care Physicians, PA (Hawk & Puglia Family Practice Physicians)
• Central Florida Foot Care, P.a.
• Central Florida Hematology and Oncology
• Central Florida Medical Care,PA (Central Florida Medical Care)
• Central Florida Medical Partners, LLC
• Central Florida Premier Eye Associates
• Central Florida Premier Eye Associates (Lake Eye Associates)
• Central Florida Psychological Consultants Inc

• Diagnostic Radiology Physician in Leesburg, FL
• Providers in Leesburg, 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 Aug 12, 2019; 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.