Organization · NPI-2

Adventhealth Imaging Center Innovation

Clinic/Center · Orlando, FL

NPI number1841936879
StatusActive
Last updated in NPPESMay 11, 2022

Details

NPI
1841936879
Entity type
Organization (NPI-2)
Legal business name
Adventhealth Imaging Center Innovation
Organization subpart
Yes
Enumeration date
May 11, 2022
Certification date
Apr 28, 2022
Last updated
May 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

265 E Rollins St
Ste 1000
Orlando, FL 32084

Phone 407-303-1414

Mailing address

265 E Rollins St
Ste 1000
Orlando, FL 32084

Phone 407-303-1414

Authorized official

Michael Mazeres
Vp/Cfo
4072002227

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