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Tampa Bay Open Mri (tampa)
Specialist in Tampa, Florida
NPI 1962586628

Tampa Bay Open Mri (tampa) is a Specialist based in Lakeland, FL. Tampa Bay Open Mri (tampa) practices in Tampa, FL. The NPI Number for Tampa Bay Open Mri (tampa) is 1962586628 and holds a License No. ME40704 (Florida).

The current practice location address for Tampa Bay Open Mri (tampa) is 15511 N Florida Ave, Tampa, FL and can be reached out via phone at 863-646-8955.

Location: 15511 N Florida Ave, Tampa, FL, 33813-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962586628
Provider Name
Tampa Bay Open Mri (tampa)
Credential
Provider Entity Type
Organization
Address
15511 N Florida Ave, Tampa, FL, 33813-1105
Phone Number
863-646-8955
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2376434 01 FL AETNA
V2923 01 FL BC/BS
institution
Provider Business Practice Location Address Details
Address
15511 N Florida Ave
City
Tampa
State
Florida
Zip
33613-1263
Phone Number
863-646-8955
Fax Number
person
Provider Business Mailing Address Details
Address
15511 N Florida Ave
City
Tampa
State
Florida
Zip
33613-1263
Phone Number
863-646-8955
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
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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