Graduated: 1995
NPI: 1649225160
Practice Locations (6)
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
1919 E HWY 50 101, ADVENTHEALTH IMAGING CENTER CLERMON
CLERMONT, FL 347111975
3527173738
FLORIDA HOSPITAL MEDICAL GROUP INC
900 WINDERLEY PL, SUITE 1100
MAITLAND, FL 327517229
4072002355
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
235 E PRINCETON ST, SUITE 100
ORLANDO, FL 328045554
4073031414
FLORIDA HOSPITAL MEDICAL GROUP INC
200 N LAKEMONT AVE
WINTER PARK, FL 327923273
4076467000
FLORIDA HOSPITAL MEDICAL GROUP INC
11 CLAY ST
W LONG BRANCH, NJ 077641456
4072002355
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
11 CLAY ST
W LONG BRANCH, NJ 077641456
4072002355
Source: CMS National Downloadable File, September 2026.