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

Lake Medical Imaging and Breast Center at the Villages LLC

Organization Diagnostic Radiology Physician · NPI 1770541633

Lake Medical Imaging and Breast Center at the Villages LLC provides Diagnostic Radiology Physician services in Leesburg, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

801 E Dixie Ave Ste 104
Leesburg, FL 34748-7601
Phone: (352) 787-5858
Fax: (352) 787-4655
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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 number1770541633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Josh Floyd — Director Of Risk Management · (352) 365-2583
NPI enumeratedMay 2, 2006
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021
Mailing address734 N 3rd St, Suite 115, Leesburg, FL 34748-5285

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