FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES – NPI #1851414023
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES is a radiologist located in ORLANDO, FL. NPPES has assigned the NPI number 1851414023 to FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES” is a dba name, the actual legal business name for this organization is FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 7 years ago on Jun 20, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES below.

NPI Profile for
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC

NPI Number
1851414023
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLORIDA RADIOLOGY IMAGING AT LAKE MARY LLC
Doing Business As (dba): FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES
Other name(s)
All associated names:
Doing Business As (dba)
AdventHealth Imaging Waterford Lakes
Doing Business As (dba)
Florida Radiology Imaging at Waterford Lakes
Primary location
12301 LAKE UNDERHILL ROAD
SUITE 103
ORLANDO, FL 32828
Phone: (407) 834-8722 Fax:
Mailing address
900 WINDERLEY PL STE 2100
MAITLAND, FL 32751-4191
Phone: (407) 767-5028 Fax:
Organization Subpart
Yes - FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES is subpart of another organization.
Authorized Official
PEDRO RODRIGUEZ
MEDICAL DIRECTOR
Phone: (407) 949-6444
Updated
Identifiers

Identifiers for FLORIDA RADIOLOGY IMAGING AT WATERFORD LAKES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI BASE FOR GROUPFL1740256494
MEDICAIDFL2656442 04
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.