FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC NPI 1285243394

NPI Information

  • NPI: 1285243394
  • Provider Name: FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2488 E IRLO BRONSON MEMORIAL HWY
    KISSIMMEE, FL
    ZIP 34744
  • Phone: (407) 200-5440

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NPI Details

FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC is a diagnostic radiology radiology in Kissimmee, 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 1285243394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2488 E IRLO BRONSON MEMORIAL HWY
KISSIMMEE, FL
ZIP 34744-948
Phone: (407) 200-5440

The provider's authorized official is Michael E Mazeres .
The authorized official title is Vice President and has the following contact phone number (407) 200-2227.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 7/24/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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