Florida Diagnostic Solutions LLC
Clinic/Center in Lake Mary, FL. Organization (NPI-2).
NPI number1669865218
StatusActive
Last updated in NPPESMar 6, 2015
Details
- NPI
- 1669865218
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Diagnostic Solutions LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 6, 2015
- Last updated
- Mar 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1540 International PkwySuite 2000
Lake Mary, FL 32746-5096
Phone 407-474-9253
Mailing address
1540 International PkwySuite 2000
Lake Mary, FL 32746-5096
Authorized official
Keith Fernandez
Manager
4074749253
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