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Organization

ORLANDO DIAGNOSTIC CENTER INC

Active
Parent organization
ORLANDO DIAGNOSTIC CENTER INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORLANDO DIAGNOSTIC CENTER INC
Authorized official
WASIM AHMAR M.D (OWNER)
(321) 207-0200
Entity
Organization

Contact information

Practice address
450 W STATE ROAD 434, SUITE 1020, LONGWOOD, FL 32750-5118
(321) 207-0200
(321) 206-0924
Mailing address
450 W STATE ROAD 434, SUITE 1020, LONGWOOD, FL 32750
(321) 207-0200
(321) 262-0924

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FL
2471S1302X
Sonography Radiologic Technologist
3001575478
FL

Other

Enumeration date
03/16/2006
Last updated
02/22/2018
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