Provider Demographics
NPI:1649041930
Name:ALL FLORIDA IMAGING CORP
Entity type:Organization
Organization Name:ALL FLORIDA IMAGING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMURO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-822-5957
Mailing Address - Street 1:3326 DEL PRADO BLVD S STE 9
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7236
Mailing Address - Country:US
Mailing Address - Phone:239-257-1698
Mailing Address - Fax:
Practice Address - Street 1:3326 DEL PRADO BLVD S STE 9
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7236
Practice Address - Country:US
Practice Address - Phone:239-257-1698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)