Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Florida Radiology Imaging at Lake Mary, LLC

Organization Diagnostic Radiology Physician · NPI 1003208620

Florida Radiology Imaging at Lake Mary, LLC provides Diagnostic Radiology Physician services in Orlando, Florida. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9975 Tavistock Lakes Blvd Ste 120
Orlando, FL 32827-7559
Phone: (407) 200-2865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1003208620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Warren Wylie — Vp Radiology Enterprise · (407) 303-3358
Other names Adventhealth Imaging Lake Nona
NPI enumeratedFebruary 19, 2015
Last updated in NPPESFebruary 11, 2019
Mailing address9975 Tavistock Lakes Blvd, Suite 120, Orlando, FL 32827-7559

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