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

Lake Medical Imaging and Breast Center at the Villages LLC

Organization Diagnostic Radiology Physician · NPI 1770541633

Lake Medical Imaging and Breast Center at the Villages LLC is a Diagnostic Radiology Physician in Leesburg, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

801 E Dixie Ave Ste 104
Leesburg, FL 34748-7601
Phone: (352) 787-5858
Fax: (352) 787-4655
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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 number1770541633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josh Floyd — Director Of Risk Management · (352) 365-2583
NPI enumeratedMay 2, 2006
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address734 N 3rd St, Suite 115, Leesburg, FL 34748-5285

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