Organization · Type 2 NPI

Florida Radiology Imaging at Lake Mary LLC

Diagnostic Radiology Physician · Orlando, FL

NPI number 1851414023 Active

Practice location

12301 Lake Underhill Road, Suite 103
Orlando, FL 32828

Call (407) 834-8722 Map

Mailing address

900 Winderley Pl Ste 2100
Maitland, FL 32751-4191

Specialties and licenses

Taxonomy	Code	License
Body Imaging Physician	2085B0100X	None listed
Neuroradiology Physician	2085N0700X	None listed
Nuclear Radiology Physician	2085N0904X	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.

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NPI record

NPI: 1851414023
Entity type: Organization (Type 2)
Issued: Apr 10, 2007
Last updated: Jun 20, 2019
Status: Active
Subpart: Yes of Florida Radiology Imaging at Lake Mary LLC

Other names

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Adventhealth Imaging Waterford Lakes · doing business as
Florida Radiology Imaging at Waterford Lakes · doing business as

Authorized official

Pedro Rodriguez, MD
Medical Director
(407) 949-6444

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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 1851414023

Florida Radiology Imaging at Lake Mary LLC's National Provider Identifier is 1851414023, issued on Apr 10, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Orlando, FL. The record was last updated on Jun 20, 2019.