FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC (NPI# 1003208620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003208620 |
| Entity Type | Organization |
| Organization Name | FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC |
| Other Organization Name | ADVENTHEALTH IMAGING LAKE NONA |
| Practice Address |
9975 Tavistock Lakes Blvd Suite 120 Orlando FL 32827-7559 |
| Practice Telephone | 4072002865 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | WARREN WYLIE (VP RADIOLOGY ENTERPRISE) |
| Authorized Official Telephone | 4073033358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AdventHealth Imaging Lake Nona | Doing Business As Name - Organization |
| Florida Hospital Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
| 1437615770 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 616 E Altamonte Dr Ste 130, Altamonte Springs, FL 32701-4810 | 2019-02-12 |
| 1740256494 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 775 Primera Blvd Ste 1031, Lake Mary, FL 32746 | 2006-02-23 |
| Street Address |
9975 TAVISTOCK LAKES BLVD SUITE 120 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796243 | Mariana Beatriz Dangiolo | Family Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-07-21 |
| 1831634211 | Katherine Margaret Stevens | Physical Therapist | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7559 | 2016-12-21 |
| 1336587484 | Mehul Chimanlal Patel | Ophthalmology | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2013-06-11 |
| 1447545850 | Amit Desai | Family Medicine | 9975 Tavistock Lakes Blvd, Suite 220, Orlando, FL 32827-7559 | 2011-06-14 |
| 1801036546 | Annette Torres | Nurse Practitioner | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2009-02-20 |
| 1407013295 | William Felix-rodriguez | Emergency Medicine | 9975 Tavistock Lakes Blvd, Suite 220, Orlando, FL 32827-7559 | 2008-05-20 |
| 1083794267 | Meirelys Castro | Family Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-10-16 |
| 1679666804 | Sharon M Wasserstrom | Internal Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-10-02 |
| 1366459810 | Yanisa Del Toro | Internal Medicine | 9975 Tavistock Lakes Blvd, Orlando, FL 32827-7664 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1598201998 | Prime Radiology of Pine Hills, Inc | Radiology | 828 Mercy Drive, Suite 4, Orlando, FL 32808 | 2017-01-10 |
| 1366829707 | Florida United Radiology, Lc | Radiology | 8732 Fernwicke Ct, Orlando, FL 32819-3830 | 2015-05-06 |
| 1326440926 | Pedro Miguel Soler Sr. | Radiology | 3310 Northglen Dr, Orlando, FL 32806-6339 | 2014-09-25 |
| 1881000149 | Shalin Mahesh Soni | Radiology | 601 E Rollins St Ste 400, Orlando, FL 32803-1248 | 2014-07-08 |
| 1770843179 | Charles William George | Radiology | 3519 Cullen Lakeshore Drive, Orlando, FL 32812 | 2012-05-21 |
| 1972860831 | Hsiang-jer Tseng | Radiology | 601 E Rollins St Ste 470a, Orlando, FL 32803 | 2012-04-17 |
| 1134390743 | Amir Paydar | Radiology | 2650 Dade Ave, Apt 1422, Orlando, FL 32804-4607 | 2008-03-23 |
| 1649452517 | Unitedrads, LLC | Radiology | 11253 S Apopka Vineland Rd, Orlando, FL 32836 | 2007-12-03 |
| 1225189897 | Robert Marshall | Radiology | 51 W Kaley St, Orlando, FL 32806-2942 | 2007-01-12 |
| Find all providers in ORLANDO | ||||
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| 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.