Park Avenue Imaging – Diagnostic Radiology Physician, NPI 1720536154

Park Avenue Imaging is a healthcare provider. based in Orange park, Florida. specializing in Diagnostic Radiology Physician. The NPI Number for Park Avenue Imaging is 1720536154

Main info

Organization
Name
Park Avenue Imaging
NPI
1720536154
Phone
(904) 375-8884
Address
2128 PARK AVE
Authorized Official
MR. BRADFORD PETERS CFO
Enumeration Date
14 September 2016
Last Update Date
25 August 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness80
Years active:9State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Park Avenue Imaging

  • Dallas Avenue, Winter Park, Orange County, Florida, 32789, United States

    ORANGE PARK, FL 32073

    Phone: (904) 375-8884

    Fax: (904) 375-8887

    Type: Location

  • Lake Worth Road, Palm Beach Villas II, Greenacres, Palm Beach County, Florida, 33463, United States

    GREENACRES, FL 334633009

    Phone: (561) 331-0808

    Fax: (561) 237-6034

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32073)

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Reviews

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Frequently asked questions

Can I verify Park Avenue Imaging with an NPI only?
You can start verification with NPI 1720536154 for Park Avenue Imaging, then check state licensing separately.
Is Park Avenue Imaging still practicing?
Park Avenue Imaging is currently listed as active in the public NPI registry.
What is Park Avenue Imaging's primary classification?
Diagnostic Radiology Physician is the headline specialty for Park Avenue Imaging here. Clinical services aligned with this taxonomy classification.
Where should I expect Park Avenue Imaging on a map?
Expect Orange Park, Florida as a primary anchor for Park Avenue Imaging unless the record lists multiple sites.
Is the information about Park Avenue Imaging up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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