Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Parent organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Other names
AdventHealth Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Authorized official
MICHAEL MAZERES (VICE PRESIDENT)
(407) 200-2355
Entity
Organization
Contact information
Practice address
1480 W ORANGE BLOSSOM TRL, APOPKA, FL 32712-2637
(407) 200-5440
Mailing address
900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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