NPI 1003208620

Florida Radiology Imaging at Lake Mary, LLC

Organisation Diagnostic Radiology Physician Orlando, FL

Practice location

Address: 9975 Tavistock Lakes Blvd Suite 120, Orlando, FL 32827-7559
Phone: (407) 200-2865

Authorised official

Name: Warren Wylie
Title: Vp Radiology Enterprise
Phone: (407) 303-3358

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

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Registry record

NPI: 1003208620
Entity type: Organization
NPI issued: 19 Feb 2015
Record last updated: 11 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.