Organization
LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEE FLOYD PHD (DIRECTOR, RISK MANAGEMENT)
(365) 352-2583
Entity
Organization
Contact information
Practice address
1400 N US HIGHWAY 441 STE 510, THE VILLAGES, FL 32159-8983
(352) 787-5858
(352) 787-4655
Mailing address
734 N 3RD ST STE 115, LEESBURG, FL 34748-5287
(352) 365-2583
(352) 728-6749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101183200
—
FL
Enumeration date
06/22/2021
Last updated
06/23/2021
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