Provider Demographics
NPI:1326202920
Name:FLORIDA IMAGING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:FLORIDA IMAGING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VITALY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLATNOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-706-1770
Mailing Address - Street 1:7250 RED BUG LAKE RD
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9290
Mailing Address - Country:US
Mailing Address - Phone:407-706-1770
Mailing Address - Fax:407-706-1777
Practice Address - Street 1:7250 RED BUG LAKE RD
Practice Address - Street 2:SUITE 1020
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9290
Practice Address - Country:US
Practice Address - Phone:407-706-1770
Practice Address - Fax:407-706-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1052642471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty