# FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
- **Other names:** AdventHealth Imaging
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033744925
- **Legal business name:** FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
- **Authorized official:** MICHAEL MAZERES (VICE PRESIDENT)
- **Authorized official phone:** (407) 200-2355

## Contact information

- **Practice address:** 1480 W ORANGE BLOSSOM TRL, APOPKA, FL 32712-2637
- **Practice address phone:** (407) 200-5440
- **Mailing address:** 900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2020
- **Last updated:** 03/11/2020