South Brandon Imaging Llc

NPI 1124028824 - Clinic/Center - 261QM1200X

NPI Details
NPI 1124028824
Enumeration Date 07/26/2005
Last Updated 03/18/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LAVELLE LAVELLE
Position CREDENTIALING COORDINATOR
Phone (813) 657-7575
Fax (813) 684-3040
Practice Location
737 W BRANDON BLVD
BRANDON FL, 33511-4901, US
Phone (813) 657-7575
Fax (813) 684-3040
Business Location
737 W BRANDON BLVD
BRANDON FL, 33511-4901, US
Phone (813) 657-7575
Fax (813) 684-3040
Toxanomy
Taxonomy Code 261QM1200X
License State
License Number
Remove 1124028824 NPI Number
 

According to our database, South Brandon Imaging Llc NPI is 1124028824, taxonomy code is 261QM1200X South Brandon Imaging Llc physically located at 737 W Brandon Blvd, Brandon FL, 33511-4901. NPI Number 1033115704 has the healthcare provider type.

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1124028824 NPI number is provided on an as is basis without warranty of any kind. 1124028824 is maintained by the National Plan & Provider Enumeration System. The contents of South Brandon Imaging Llc are for informational purposes only.