Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Florida Radiology Imaging at Lake Mary, LLC

Organization Diagnostic Radiology Physician · NPI 1003208620

Florida Radiology Imaging at Lake Mary, LLC is a Diagnostic Radiology Physician in Orlando, Florida. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9975 Tavistock Lakes Blvd Ste 120
Orlando, FL 32827-7559
Phone: (407) 200-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1003208620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Wylie — Vp Radiology Enterprise · (407) 303-3358
Other names Adventhealth Imaging Lake Nona
NPI enumeratedFebruary 19, 2015
Last updated in NPPESFebruary 11, 2019
Mailing address9975 Tavistock Lakes Blvd, Suite 120, Orlando, FL 32827-7559

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