Organization
CENTRAL FLORIDA IMAGING OF LEESBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC OTT DC (CEO)
(352) 702-4275
Entity
Organization
Contact information
Practice address
106 W NORTH BLVD STE 104, LEESBURG, FL 34748-5039
(321) 318-6758
Mailing address
425 ALEXANDRIA BLVD STE 1000, OVIEDO, FL 32765-5548
(407) 977-3434
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
08/12/2019
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