Organization · Type 2 NPI

Florida Radiology Imaging at Lake Mary, LLC

Body Imaging Physician · Apopka, FL

NPI number 1033744925 Active

Practice location

1480 W Orange Blossom Trl
Apopka, FL 32712-2637

Call (407) 200-5440 Map

Mailing address

900 Winderley Pl Ste 2100
Maitland, FL 32751-4191

Specialties and licenses

Taxonomy	Code	License
Body Imaging Physician Primary	2085B0100X	None listed

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

NPI record

NPI: 1033744925
Entity type: Organization (Type 2)
Issued: Mar 11, 2020
Last updated: Mar 11, 2020
Status: Active
Subpart: Yes of Florida Radiology Imaging at Lake Mary, LLC

Other names

Adventhealth Imaging · doing business as

Authorized official

Michael Mazeres
Vice President
(407) 200-2355

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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 1033744925

Florida Radiology Imaging at Lake Mary, LLC's National Provider Identifier is 1033744925, issued on Mar 11, 2020. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Apopka, FL. The record was last updated on Mar 11, 2020.