Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Other names
AdventHealth Imaging Lake Nona
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WYLIE (VP RADIOLOGY ENTERPRISE)
(407) 303-3358
Entity
Organization
Contact information
Practice address
9975 TAVISTOCK LAKES BLVD, SUITE 120, ORLANDO, FL 32827-7559
(407) 200-2865
Mailing address
9975 TAVISTOCK LAKES BLVD, SUITE 120, ORLANDO, FL 32827-7559
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/11/2019
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