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General NPI Number Information
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NPI Number | 1215928882
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Entity Type | Individual
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Provider Name | MARTIN GEZA RADVANY M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1305 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4542
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Country | US
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Telephone | 863-688-2334
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 917770
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City | ORLANDO
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State | FL
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Zip | 32891-0001
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Country | US
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Telephone | 813-821-8038
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME122178
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MD453589
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | L1173
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME122178
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D48191
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | E-11049
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License Number State | AR
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Taxonomy #7
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 27553
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License Number State | SC
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