institution
Sun City Center Open Mri
Specialist in Ruskin, Florida
NPI 1245319508

Sun City Center Open Mri is a Specialist based in Lakeland, FL. Sun City Center Open Mri practices in Ruskin, FL. The NPI Number for Sun City Center Open Mri is 1245319508 and holds a License No. ME40704 (Florida).

The current practice location address for Sun City Center Open Mri is 725 Cortaro Dr, Ruskin, FL and can be reached out via phone at 813-642-0887 and via fax at 813-633-6527.

Location: 725 Cortaro Dr, Ruskin, FL, 33813-1105
institution
Provider Profile Details
NPI Number
1245319508
Provider Name
Sun City Center Open Mri
Credential
Provider Entity Type
Organization
Address
725 Cortaro Dr, Ruskin, FL, 33813-1105
Phone Number
813-642-0887
Fax Number
813-633-6527
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
257741103 05 FL
V2920 01 FL BLUE CROSS BLUE SHIELD
2376442 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
725 Cortaro Dr
City
State
Zip
33573-6812
Phone Number
813-642-0887
Fax Number
813-633-6527
person
Provider Business Mailing Address Details
Address
725 Cortaro Dr
City
State
Zip
33573-6812
Phone Number
813-642-0887
Fax Number
813-633-6527
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
ME40704 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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