Organization
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J GOODEMOTE (CEO)
(863) 577-0303
Entity
Organization
Contact information
Practice address
8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202-5174
(941) 782-2100
Mailing address
PO BOX 20027, TAMPA, FL 33622-0027
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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