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FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC NPI 1912463258


NPI Information

NPI: 1912463258
Provider Name: FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC

Doing Business As: ADVENTHEALTH IMAGING WINTER GARDEN

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 10D1097673

Address:
2200 FOWLER GROVE BLVD STE 60
WINTER GARDEN, FL
ZIP 34787
Phone: (407) 200-0538
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FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC is a diagnostic radiology radiology in Winter Garden, 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 1912463258. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Adventhealth Imaging Winter Garden.

The provider's business location address is:

2200 FOWLER GROVE BLVD STE 60
WINTER GARDEN, FL
ZIP 34787-597
Phone: (407) 200-0538
Fax: (407) 614-0524

The provider's authorized official is Henderson Peter .
The authorized official title is Senior Director and has the following contact phone number (407) 200-2227.

The CLIA number assigned to this NPI record is 10D1097673 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.


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?

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: 5/5/2024

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