Organization · Type 2 NPI

Lake Medical Imaging and Breast Center at the Villages LLC

Diagnostic Radiology Physician · The Villages, FL

NPI number 1104495324 Active

Practice location

1400 N US Highway 441 Ste 510
The Villages, FL 32159-8983

Fax (352) 787-4655

Mailing address

734 N 3rd St Ste 115
Leesburg, FL 34748-5287

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

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

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About NPI 1104495324

Lake Medical Imaging and Breast Center at the Villages LLC's National Provider Identifier is 1104495324, issued on Jun 22, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in The Villages, FL. The record was last updated on Jun 23, 2021.