Organization · Type 2 NPI
Physicians Imaging-Mt Dora LLC
Radiology Clinic/Center · Mount Dora, FL
NPI number
1629294681
Active
Practice location
3615 Lake Center Dr
Mount Dora, FL 32757-2364
Fax (352) 383-7457
Mailing address
P.o. Box 4610
Lake Charles, LA 70606-4610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
Another provider at this address
About NPI 1629294681
Physicians Imaging-Mt Dora LLC's National Provider Identifier is 1629294681, issued on Apr 18, 2007. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Mount Dora, FL. The record was last updated on Dec 19, 2007.