Organization
ADVANCED IMAGING CENTER OF LEESBURG,LLC
Active
Other names
Advanced Imaging Center of Clermont
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE J OLANDER (DIRECTOR OF OPERATIONS)
(352) 435-0111
Entity
Organization
Contact information
Practice address
262 MOHAWK RD, CLERMONT, FL 34715-7433
(352) 243-2111
Mailing address
PO BOX 493854, LEESBURG, FL 34749-3854
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
JR36381000
FL
Other
Enumeration date
04/24/2009
Last updated
06/15/2009
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