Organization
LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH L FLOYD (DIRECTOR OF RISK MANAGEMENT)
(352) 365-2583
Entity
Organization
Contact information
Practice address
801 E DIXIE AVE STE 104, LEESBURG, FL 34748-7601
(352) 787-5858
(352) 787-4655
Mailing address
734 N 3RD ST, SUITE 115, LEESBURG, FL 34748-5285
(352) 365-2583
(352) 728-6749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101183202
—
FL
Enumeration date
05/02/2006
Last updated
06/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us