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Organization
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Active
Organization
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B. ESPOSITO (PRESIDENT)
(863) 688-2334
Entity
Organization
Contact information
Practice address
1417 LAKELAND HILLS BLVD STE 102, LAKELAND, FL 33805-3200
(863) 688-2334
Mailing address
2115 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 577-0303
(863) 577-0301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
04/21/2020
Last updated
12/27/2024
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