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Deactivated NPI 1104862036 Deactivated / Inactive NPI

Cdi Central Florida Llc

Radiology - Diagnostic Radiology • Ocoee, FL

Public Directory Information & Medical Disclaimer

This facility profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or healthcare referrals. Always consult a qualified medical professional for health queries.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cdi Central Florida Llc has officially deactivated this NPI record and ceased active healthcare operations.

Registration / Start Date June 20, 2006
NPI Deactivation Date January 14, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

About Cdi Central Florida Llc NPI 1104862036 Summary

Cdi Central Florida Llc was a registered healthcare organization specializing in Radiology - Diagnostic Radiology located in Ocoee, FL. Operating from its primary practice location at 10125 WEST COLONIAL DRIVE, SUITE 116, the facility provided medical services under NPI record 1104862036 prior to official deactivation on January 14, 2021.

Administrative records indicate Donald Jacobsen as the registered authorized official.

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

10125 West Colonial Drive
Suite 116

Ocoee, FL 34761

Telephone 4072902828
Fax 4072902567

Authorized Official Information

Authorized Contact Name

Donald Jacobsen

Official Telephone

9525436500

Facility Classifications & Specialties

Radiology - Diagnostic Radiology Primary Taxonomy

NUCC Taxonomy Code: 2085R0202X

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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NPI Profile Deactivated January 14, 2021

Record deactivated on January 14, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10125 WEST COLONIAL DRIVE, SUITE 116, OCOEE, FL 34761 (Tel: 4072902828)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 550202, TAMPA, FL 336550202 (Tel: 9525428553)

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Organization / Clinic Name Updated July 08, 2007

Operating as CDI CENTRAL FLORIDA LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Radiology

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Initial NPI Registration & Enumeration June 20, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1104862036
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 20, 2006
Last Update: July 08, 2007
Deactivation Date: January 14, 2021

Mailing Address

Po Box 550202

Tampa, FL 336550202

Phone: 9525428553

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.