Organization
ORLANDO DIAGNOSTIC CENTER INC
Active
Organization
ORLANDO DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY JORDAN (CREDENTIALING SPECIALIST)
(321) 206-8100
Entity
Organization
Contact information
Practice address
506 W CHERRY ST, KISSIMMEE, FL 34741-4114
(407) 935-1000
(407) 935-1001
Mailing address
450 W STATE ROAD 434 STE 1020, LONGWOOD, FL 32750-5187
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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