Physicians Imaging-Mt Dora LLC
NPI #1629294681 in Mount Dora, Florida
Provider Information
- NPI Number
- 1629294681
- Entity Type
- Organization
- Organization Name
- Physicians Imaging-Mt Dora LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 3615 LAKE CENTER DR
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2364
- Phone
- (352) 383-3716
Authorized Official
- Name
- DR. ELIAS J GERTH, M.D.
- Title
- OPERATING MANAGER
- Phone
- (305) 295-1242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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