Organization
LDRT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA IVANOV MD (CHIEF OPERATING OFFICER)
(630) 606-8480
Entity
Organization
Contact information
Practice address
1561 W FAIRBANKS AVE STE 200, WINTER PARK, FL 32789-4678
(630) 606-8480
Mailing address
1561 W FAIRBANKS AVE STE 200, WINTER PARK, FL 32789-4678
(630) 606-8480
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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