Organization · Type 2 NPI

Florida Radiology Imaging at Lake Mary LLC

Diagnostic Radiology Physician · Orlando, FL

NPI number 1003983610 Active

Practice location

6000 Turkey Lake Rd, Suite 107
Orlando, FL 32819-4200

Call (407) 834-8722 Map

Fax (407) 834-5325

Mailing address

PO Box 150130
Altamonte Springs, FL 32715-0130

Specialties and licenses

Taxonomy	Code	License
Neuroradiology Physician	2085N0700X	None listed
Diagnostic Radiology Physician Primary	2085R0202X	None listed
Vascular & Interventional Radiology Physician	2085R0204X	None listed
Diagnostic Ultrasound Physician	2085U0001X	None listed

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

38 other providers at this address

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NPI record

NPI: 1003983610
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Feb 25, 2008
Status: Active
Subpart: Yes of Florida Radiology Imaging at Lake Mary LLC

Other names

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Florida Radiology Imaging at Universal Center · doing business as

Authorized official

Brian Reeves, DO
Medical Director
(407) 834-8722

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003983610

Florida Radiology Imaging at Lake Mary LLC's National Provider Identifier is 1003983610, issued on Nov 29, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Orlando, FL. The record was last updated on Feb 25, 2008.