FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC


Address: 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4948
Phone: 4072005440

FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC (NPI# 1285243394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285243394
Entity Type Organization
Organization Name FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Practice Address 2488 E Irlo Bronson Memorial Hwy
Kissimmee
FL 34744-4948
Mailing Address 900 Winderley Pl Ste 2100
Maitland
FL 32751-4191
Practice Telephone 4072005440
Mailing Telephone 4072002355
Enumeration Date 2020-07-24
Last Update Date 2020-07-24
Authorized Official Name MICHAEL E MAZERES (VICE PRESIDENT)
Authorized Official Telephone 4072002227
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
AdventHealth Imaging Partin Settlement Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912463258 Florida Radiology Imaging At Lake Mary LLC Radiology 2200 Fowler Grove Blvd Ste 60, Winter Garden, FL 34787-5597 2019-02-12
1851414023 Florida Radiology Imaging At Lake Mary LLC Radiology 12301 Lake Underhill Road, Suite 103, Orlando, FL 32828 2007-04-10
1003983610 Florida Radiology Imaging At Lake Mary LLC Radiology 6000 Turkey Lake Rd, Suite 107, Orlando, FL 32819-4200 2006-11-29
1891874699 Florida Radiology Imaging At Lake Mary LLC Radiology 8000 Red Bug Lake Rd, Suite 120, Oviedo, FL 32765-9226 2006-11-03
1942389747 Florida Radiology Imaging At Lake Mary LLC Radiology 235 E Princeton St, Suite 100, Orlando, FL 32804-5553 2006-11-03

Office Location

Street Address 2488 E IRLO BRONSON MEMORIAL HWY
City KISSIMMEE
State FL
Zip Code 34744-4948

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003416843 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 2465 N Orange Blossom Trail, Kissimmee, FL 34744 2020-10-30
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1083197941 Marilyn Mendez Behavior Technician 678 Cornestone Dr, Kissimmee, FL 34744 2018-09-07
1255827309 St.cloud Pharmacy&wellness Center Pharmacy St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 2018-07-02
1518454966 Nationwide Vision Center, LLC Technician/Technologist 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 2018-04-20
1831698661 Ramirez and Poulos M.d. P.a. Ophthalmology 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 2018-02-07
1548702517 Laura L Wheeler Counselor 600 N Thacker, D63, Kissimmee, FL 34744 2016-11-08
1275992950 Judith Ambrose Case Management 1320 N Main Street, Suite B, Saint Cloud, FL 34744 2016-02-23
1043685258 Oreida Hernandez De Morissette Case Management 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 2015-12-14
1780062232 Martin Alfredo Rosell Hearing Instrument Specialist 806 N Main Street, Kissimmee, FL 34744 2015-05-15
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528434123 Imaging Medical Center LLC Radiology 1016 Cypress Pkwy, Kissimmee, FL 34759-3328 2015-08-18
1487907242 Diagnostic 4 U Radiology 1010 Mann St, Kissimmee, FL 34741-4121 2012-10-18
1447534367 Mps Medic Radiology 323 W Oak St, Kissimmee, FL 34741-4421 2011-10-11
1376839423 Sheridan Radiology Services of Central Florida, Inc Radiology 730 W Oak St, Kissimmee, FL 34741-4938 2011-06-27
1538451919 Digital Radiology Center Inc Radiology 1105 Sumner St, Kissimmee, FL 34741-5804 2011-05-04
1013177419 Omar Farooq Usmani Radiology 208 W Oak St, Kissimmee, FL 34741-4420 2008-06-10
1083807788 Sonia Velazquez Radiology 1926 N John Young Pkwy, # 145, Kissimmee, FL 34741-3221 2007-08-26
1760588230 Altamonte Springs Diagnostic Imaging Inc Radiology 819 E. Oak Str, Suite C, Kissimmee, FL 34744-5842 2006-09-15
1285688127 Navix Imaging Inc Radiology 1503 W Oak St, Kissimmee, FL 34741-4065 2006-05-22
1710989686 Dale C. Newton Radiology 3011 Marta Cir, Apt 203, Kissimmee, FL 34741-0750 2005-08-11
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Competitor

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City KISSIMMEE
Zip Code 34744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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