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FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC NPI 1003983610


NPI Information

NPI: 1003983610
Provider Name: FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC

Doing Business As: FLORIDA RADIOLOGY IMAGING AT UNIVERSAL CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6000 TURKEY LAKE RD
SUITE 107
ORLANDO, FL
ZIP 32819
Phone: (407) 834-8722
Get Directions

FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC is a diagnostic radiology radiology in Orlando, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC NPI is 1003983610. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Florida Radiology Imaging At Universal Center.

The provider's business location address is:

6000 TURKEY LAKE RD
SUITE 107
ORLANDO, FL
ZIP 32819-200
Phone: (407) 834-8722
Fax: (407) 834-5325

The provider's authorized official is Brian Reeves .
The authorized official title is Medical Director and has the following contact phone number (407) 834-8722.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 2/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundNo
42085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V3162OTHERFLORIDABCBS GROUP NUMBER
234329MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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