Organization
ADVENTHEALTH IMAGING CENTER INNOVATION
Active
Parent organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Authorized official
MICHAEL MAZERES (VP/CFO)
(407) 200-2227
Entity
Organization
Contact information
Practice address
265 E ROLLINS ST, STE 1000, ORLANDO, FL 32084
(407) 303-1414
Mailing address
265 E ROLLINS ST, STE 1000, ORLANDO, FL 32084
(407) 303-1414
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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