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Contact Information

FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
12301 LAKE UNDERHILL ROAD
SUITE 103
ORLANDO, FL32828
 Phone: 407-834-8722
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC · (Female)

NPI Number 1851414023
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2007
Last updated 06/20/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 2656442 04
  • FL Other 1740256494 NPI BASE FOR GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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