Organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Active
Organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Active
Parent organization
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Other names
Mid Florida Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTAMONTE SPRINGS DIAGNOSTIC IMAGING INC
Authorized official
DR. RONALD I LANDAU M.D. (OWNER)
(407) 482-5253
Entity
Organization
Contact information
Practice address
882 S KIRKMAN RD, SUITE 103-104, ORLANDO, FL 32811-2600
(407) 288-8160
(407) 288-8170
Mailing address
1150 S. SEMORAN BLVD, SUITE C, ORLANDO, FL 32807-1424
(407) 482-5253
(407) 482-5254
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187041
AMERIGROUP
VA
01
—
28683
WELLCARE STAYWELL HEALTHE
FL
Enumeration date
09/14/2006
Last updated
01/30/2012
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