FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC NPI 1386316602

NPI Information

FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC is a diagnostic radiology radiology in Clermont, 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 1386316602. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventhealth Imaging Center Clermont.

The provider's business location address is:

1919 E HIGHWAY 50 STE 101
CLERMONT, FL
ZIP 34711-975
Phone: (352) 717-3738
Fax: (352) 717-3739

The provider's authorized official is Michael Mazeres .
The authorized official title is Vice President and has the following contact phone number (407) 357-1912.

The CLIA number assigned to this NPI record is 10D0879180 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 11/15/2021.

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:

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