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Organization

LAKE MEDICAL IMAGING AND BREAST CENTER AT THE VILLAGES LLC

Active
Other names
Lake Medical Imaging at Lake Sumter Landing
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA LEE FLOYD PHD (DIRECTOR, RISK MANAGEMENT)
(365) 352-2583
Entity
Organization

Contact information

Practice address
910 OLD CAMP RD STE 120, THE VILLAGES, FL 32162-5605
(352) 787-5858
(352) 787-4655
Mailing address
734 N 3RD ST STE 115, LEESBURG, FL 34748-5287
(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
101183204
FL
Enumeration date
07/16/2021
Last updated
07/21/2021
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