Organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Active
Parent organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Other names
MID FLORIDA IMAGING
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Authorized official
DR. RONALD I LANDAU M.D. (OWNER)
(407) 482-5253
Entity
Organization
Contact information
Practice address
195 S. WESTMONTE DR, SUITE 1118, ALTAMONTE SPRINGS, FL 32714-4219
(407) 786-5877
(407) 786-5803
Mailing address
1150 S. SEMORAN BLVD, SUITE C, ORLANDO, FL 32807-1424
(407) 482-5253
(407) 482-5254
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC4173
FL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2219
BCBS PROVIDER NUMBER
FL
Enumeration date
09/15/2006
Last updated
04/04/2011
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