Organization
MPFR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MARTIN MD (OWNER)
(407) 244-8559
Entity
Organization
Contact information
Practice address
1200 EDGEWATER DR, ORLANDO, FL 32804-6314
(407) 244-8559
(407) 218-4563
Mailing address
1200 EDGEWATER DR, ORLANDO, FL 32804-6314
(407) 244-8559
(407) 218-4563
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
ME31846
FL
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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