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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

NPI Number 1639269392
LBN Legal business name NORTH BRANDON IMAGING LLC
Authorized official WILLIAM RUTHERFORD - (SENIOR VP)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2006
Last updated 08/30/2011 - About 15 years ago
Identifiers
FL Medicaid 272079500
FL Other V3028 BCBS OF FL
FL Other P00280433 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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