Organization
CLERMONT RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RESTIVO (MANAGER - CREDENTIALING)
(321) 331-1430
Entity
Organization
Contact information
Practice address
871 OAKLEY SEAVER DRIVE, CLERMONT, FL 34711
(352) 241-6100
(352) 241-6101
Mailing address
PO BOX 593869, ORLANDO, FL 32859-3869
(352) 241-6100
(352) 241-6101
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
10/11/2017
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