Provider Demographics
NPI:1821977182
Name:FLORIDA DIAGNOSTIC IMAGING CENTER INC
Entity type:Organization
Organization Name:FLORIDA DIAGNOSTIC IMAGING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-823-2188
Mailing Address - Street 1:1480 W FAIRBANKS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4806
Mailing Address - Country:US
Mailing Address - Phone:407-794-7906
Mailing Address - Fax:407-628-0748
Practice Address - Street 1:1480 W FAIRBANKS AVE STE 200
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4806
Practice Address - Country:US
Practice Address - Phone:407-794-7906
Practice Address - Fax:407-628-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty