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South Brandon Imaging Llc
Mammography Clinic/Center in Brandon, Florida
NPI 1124028824

South Brandon Imaging Llc is a Mammography Clinic/Center based in Brandon, FL and is specialized in Radiology, Mammography. South Brandon Imaging Llc practices in Brandon, FL. The NPI Number for South Brandon Imaging Llc is 1124028824 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
1124028824
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
07/26/2005
Last Update Date
03/12/2024
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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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
261QM1200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
261QR0206X
License No.
()
Definition
Definition to come...
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