Provider Demographics
NPI:1568798403
Name:JAVIER F. APONTE SR.
Entity Type:Organization
Organization Name:JAVIER F. APONTE SR.
Other - Org Name:TAMPA BAY DIAGNOSTIC IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:SR
Authorized Official - Credentials:RCS, RDCS
Authorized Official - Phone:813-562-6489
Mailing Address - Street 1:24828 HYDE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-6326
Mailing Address - Country:US
Mailing Address - Phone:813-562-6489
Mailing Address - Fax:813-388-6128
Practice Address - Street 1:24828 HYDE PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-6326
Practice Address - Country:US
Practice Address - Phone:813-562-6489
Practice Address - Fax:813-388-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL081802246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001860800Medicaid
FL12024530OtherCAQH
FLEP301Medicare PIN