Unknown Individual – Diagnostic Radiology Physician, NPI 1689732091
Diagnostic Radiology Physician
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Provider Addresses for Unknown Individual
165, Waymont Court, Crystal Heights, Lake Mary, Seminole County, Florida, 32746, United States
LAKE MARY, FL 32746
Phone: (407) 321-3012
Fax: (407) 321-9006
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32746)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL |
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