Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Other names
AdventHealth Imaging Center Clermont
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MAZERES (VICE PRESIDENT)
(407) 357-1912
Entity
Organization
Contact information
Practice address
1919 E HIGHWAY 50 STE 101, CLERMONT, FL 34711-1975
(352) 717-3738
(352) 717-3739
Mailing address
235 E PRINCETON ST STE 100, ORLANDO, FL 32804-5554
(407) 303-1414
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
11/15/2021
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