National Provider Identifier Database

FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Diagnostic Radiology

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


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
* Diagnostic Radiology 2085R0202X
Body Imaging 2085B0100X
Diagnostic Ultrasound 2085U0001X
Neuroradiology 2085N0700X
Nuclear Radiology 2085N0904X
Vascular & Interventional Radiology 2085R0204X

* Indicates primary specialty

NPI Profile & details for FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC

NPI Number 1851414023
Legal business name
LBN
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Authorized official PEDRO RODRIGUEZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 04/10/2007
Last updated 06/20/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 2656442 04
  • FL Other: 1740256494 NPI BASE FOR GROUP

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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