OrganizationActive
Advance Technological Radiology, PA
NPI 1396419289 · Diagnostic Radiology Physician · Lake Wales, FL
Provider details
- NPI number
- 1396419289
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Rosa, Owner(863) 421-9393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
24040 US Highway 27
Lake Wales, FL 33859-7813
Phone: (863) 456-2200
Fax: (863) 223-0858
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2159
Haines City, FL 33845-2159
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.