LAKESIDE OPEN MRI OF TAVARES
NPI 1467491993
Clinic/Center - Radiology in Tavares, FL

Active since June 06, 2006
1879 NIGHTINGALE LN, SUITE A-1, TAVARES, FL 32778(352) 742-9211(352) 742-9406 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakeside Open Mri Of Tavares NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE OPEN MRI OF TAVARES (NPI 1467491993) is a healthcare organization registered as a radiology in Tavares, Florida and active in the NPI registry since June 2006. The organization lists Shaun P Woodburn, President, as its authorized official.

NPPES Registry Identity

NPI1467491993
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameOPEN MRI OF ORLANDO INC
Location Address1879 NIGHTINGALE LN, SUITE A-1Tavares, FL 32778-4363
Mailing Address1879 Nightingale Ln, Suite A-1Tavares, FL 32778-4363 · (352) 742-9211 · Fax (352) 742-9406
Fax(352) 742-9406
Organization SubpartNo
Authorized OfficialShaun P WoodburnPresident · (352) 742-9211
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1467491993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License Licensed in FL · HCC5152
1879 NIGHTINGALE LN, Tavares, FL 32778

Other Names 1

Doing Business AsLakeside Open Mri Of Tavares

Other Identifiers 1

OtherV2544FL · Blue Cross And Blue Sheil

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine
1879 NIGHTINGALE LN, SUITE B1
TAVARES, FL 32778
Clinic/Center (Ambulatory Surgical)
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, A-2
TAVARES, FL 32778
Internal Medicine (Gastroenterology)
1879 NIGHTINGALE LN, SUITE C-2
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, STE C-1
TAVARES, FL 32778
Internal Medicine (Cardiovascular Disease)
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778
Plastic Surgery
1879 NIGHTINGALE LN, SUITE #A-2
TAVARES, FL 32778
Internal Medicine
1879 NIGHTINGALE LN
TAVARES, FL 32778
Nurse Practitioner (Acute Care)
1879 NIGHTINGALE LN
TAVARES, FL 32778
Surgery
1879 NIGHTINGALE LN, STE B4
TAVARES, FL 32778
Nurse Practitioner
1879 NIGHTINGALE LN, SUITE C-1
TAVARES, FL 32778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467491993, enumerated as an "organization" on June 06, 2006.

The provider is located at 1879 NIGHTINGALE LN SUITE A-1 TAVARES, FL 32778 and the phone number is (352) 742-9211.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.