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Contact Information

INNOVATIVE IMAGING ASSOCIATES, PLLC
11375 CORTEZ BLVD
BROOKSVILLE, FL34613
 Phone: 888-476-6295
 Fax: 813-336-6962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for INNOVATIVE IMAGING ASSOCIATES PLLC · (Female)

NPI Number 1053885962
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2019
Last updated 01/16/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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