Provider Demographics
NPI:1902262371
Name:CENTRAL FLORIDA IMAGING, LLC.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA IMAGING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRET
Authorized Official - Middle Name:GENTER
Authorized Official - Last Name:SCHEUPLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-839-1045
Mailing Address - Street 1:1343 S INTERNATIONAL PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-1401
Mailing Address - Country:US
Mailing Address - Phone:407-961-7250
Mailing Address - Fax:407-961-7260
Practice Address - Street 1:1343 S INTERNATIONAL PKWY
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-1401
Practice Address - Country:US
Practice Address - Phone:407-961-7250
Practice Address - Fax:407-961-7260
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-14
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty