Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Active
Other names
AdventHealth Imaging Partin Settlement
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E MAZERES (VICE PRESIDENT)
(407) 200-2227
Entity
Organization
Contact information
Practice address
2488 E IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34744-4948
(407) 200-5440
Mailing address
900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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