Organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Active
Parent organization
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Other names
AdventHealth Imaging Winter Garden
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Authorized official
HENDERSON PETER (SENIOR DIRECTOR)
(407) 200-2227
Entity
Organization
Contact information
Practice address
2200 FOWLER GROVE BLVD STE 60, WINTER GARDEN, FL 34787-5597
(407) 200-0538
(407) 614-0524
Mailing address
900 WINDERLEY PL STE 2100, MAITLAND, FL 32751-4191
(407) 200-1606
(407) 303-0893
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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