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1215928882

NPI Code Detail

MEDICARE: DR. MARTIN GEZA RADVANY M.D.

MEDICARE: DR. MARTIN GEZA RADVANY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	ME122178	FL
2	2085R0204X	Vascular & Interventional Radiology Physician	MD453589	PA
3	2085R0204X	Vascular & Interventional Radiology Physician	L1173	TX
4	2085N0700X	Neuroradiology Physician	ME122178	FL
5	2085R0204X	Vascular & Interventional Radiology Physician	D48191	MD
6	2085R0204X	Vascular & Interventional Radiology Physician	E-11049	AR
7	2085R0204X	Vascular & Interventional Radiology Physician	27553	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q00222997	OTHER	FL	RAILROAD MEDICARE
5	N8828	OTHER	FL	FLORIDA MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	EFZ2Z	OTHER	FL	FLORIDA BCBS
9	PO1739390	OTHER	PA	RAILROAD
10	10434991	OTHER	FL	CAQH
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215928882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN GEZA RADVANY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-0001
Country	:	US
Telephone Number	:	813-821-8038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 LAKELAND HILLS BLVD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33805-4542
Country	:	US
Telephone Number	:	863-688-2334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	11/13/2025

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Directions to “ DR. MARTIN GEZA RADVANY M.D.” Practice Location

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