Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Active
Parent organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Other names
AdventHealth Imaging Altamonte
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Authorized official
MICHAEL EDWARD MAZERES (VP/CFO)
(407) 200-5403
Entity
Organization
Contact information
Practice address
661 E ALTAMONTE DR STE 130, ALTAMONTE SPRINGS, FL 32701-5102
(407) 303-2155
(407) 303-2165
Mailing address
900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191
(407) 303-2155
(407) 303-2165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
07/21/2022
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