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Contact Information

NORTH BRANDON IMAGING LLC
613 OAKFIELD DRIVE
BRANDON, FL33511
 Phone: 813-661-2222
 Fax: 813-681-8494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for NORTH BRANDON IMAGING LLC · (Female)

NPI # 1639269392
Status Active
Credentials
Entity Individual
Enumeration date 10/13/2006
Last updated 08/30/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 272079500
  • FL Other V3028 BCBS OF FL
  • FL Other P00280433 RR MEDICARE
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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