Organization · Type 2 NPI

Lake Medical Imaging and Breast Center at the Villages LLC

Diagnostic Radiology Physician · The Villages, FL

NPI number 1366015232 Active

Practice location

2955 Brownwood Blvd Ste 112
The Villages, FL 32163-2036

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.

2 other providers at this address

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About NPI 1366015232

Lake Medical Imaging and Breast Center at the Villages LLC's National Provider Identifier is 1366015232, issued on Jul 20, 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 Jul 21, 2021.