Organization
UNIVERSITY DIAGNOSTIC INSTITUTE WINTER PARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LAMB (CEO)
(407) 975-3315
Entity
Organization
Contact information
Practice address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3213
(407) 975-3315
(407) 691-0316
Mailing address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3213
(407) 975-3315
(407) 691-0316
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263170900
—
FL
Enumeration date
03/24/2006
Last updated
09/19/2019
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