Organization
MEDITEK-ICOT INC.
Active
Other names
LUTZ RADIOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G WINTER (PRESIDENT)
(772) 463-8256
Entity
Organization
Contact information
Practice address
1916 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 909-7476
(813) 909-2026
Mailing address
PO BOX 862813, ORLANDO, FL 32886-2813
(772) 600-0324
(772) 600-0327
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3760
FL
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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