Organization
IMAGING MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M DIAZ DIAZ M.D. (PRESIDENT)
(407) 378-2104
Entity
Organization
Contact information
Practice address
1016 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(407) 378-3009
(407) 378-2104
Mailing address
1016 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(407) 378-3009
(407) 378-2104
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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