Healthcare Provider Details

I. General information

NPI: 1407560196
Provider Name (Legal Business Name): INVISION DIAGNOSTICS OF FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 SW 33RD RD STE 301
OCALA FL
34474-8425
US

IV. Provider business mailing address

PO BOX 13219
DURHAM NC
27709-3219
US

V. Phone/Fax

Practice location:
  • Phone: 352-877-9221
  • Fax:
Mailing address:
  • Phone: 877-318-1349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN LAWRENCE
Title or Position: MGR MEMBER
Credential:
Phone: 877-318-1349