Organization · NPI-2

Adventhealth Imaging Training Center

Clinic/Center · Orlando, FL

NPI number1649916594
StatusActive
Last updated in NPPESMay 12, 2022

Details

NPI
1649916594
Entity type
Organization (NPI-2)
Legal business name
Adventhealth Imaging Training Center
Organization subpart
Yes
Enumeration date
May 12, 2022
Certification date
Apr 28, 2022
Last updated
May 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

25 South Terry Ave
Ste 220
Orlando, FL 32805

Phone 407-641-2446 · Fax 407-641-2447

Mailing address

25 South Terry Ave
Ste 220
Orlando, FL 32805

Phone 407-641-2446 · Fax 407-641-2447

Authorized official

Michael Mazeres
Vp/Cfo
4072002227

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