Organization
WOMEN CENTER FOR RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI BELMONT (DIRECTOR)
(407) 581-4140
Entity
Organization
Contact information
Practice address
1621 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 841-0822
(407) 581-4154
Mailing address
1621 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 841-0822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME26872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085100
AVMED
FL
05
—
373501000
—
FL
01
—
CI5806
MEDICARE RAILROAD
FL
01
—
V2475
BCBS
DC
01
—
V2476
BCBS/OUR OTHER OFFICE ORG
FL
Enumeration date
09/14/2005
Last updated
06/26/2015
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