Organization
RADIOLOGY ASSOCIATES OF CENTRAL FLORIDA L L C
Active
Other names
Lake Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH L FLOYD PHD (DIRECTOR OF RISK MANAGEMENT)
(352) 365-2583
Entity
Organization
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 787-5858
Mailing address
734 N 3RD ST, SUITE 115, LEESBURG, FL 34748-5285
(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
—
100952301
—
FL
05
—
43346200
—
FL
01
—
K1941
MEDICARE
FL
Enumeration date
04/20/2006
Last updated
06/23/2021
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