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South Brandon Imaging Llc
Diagnostic Radiology Physician in Brandon, Florida
NPI 1114002094

South Brandon Imaging Llc is a Diagnostic Radiology Physician based in Brandon, FL and is specialized in Diagnostic Radiology. South Brandon Imaging Llc practices in Brandon, FL. The NPI Number for South Brandon Imaging Llc is 1114002094 and holds a License No. (Florida).

The current practice location address for South Brandon Imaging Llc is 737 W Brandon Blvd, Brandon, FL and can be reached out via phone at 813-657-7575 and via fax at 813-684-3040.

Location: 737 W Brandon Blvd, Brandon, FL, 33511-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114002094
Provider Name
South Brandon Imaging Llc
Credential
Provider Entity Type
Organization
Address
737 W Brandon Blvd, Brandon, FL, 33511-4901
Phone Number
813-657-7575
Fax Number
813-684-3040
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00273457 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
737 W Brandon Blvd
City
Brandon
State
Florida
Zip
33511-4901
Phone Number
813-657-7575
Fax Number
813-684-3040
person
Provider Business Mailing Address Details
Address
737 W Brandon Blvd
City
Brandon
State
Florida
Zip
33511-4901
Phone Number
813-657-7575
Fax Number
813-684-3040
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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