ADVANTAGE OPEN MRI OF TAMPA; NPI #1225069891

Contact Information

ADVANTAGE OPEN MRI OF TAMPA

3104 W WATERS AVE
#14
TAMPA, FL 33634

Phone: 813-935-5332
Fax: 813-933-5849
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for ADVANTAGE OPEN MRI OF TAMPA

NPI # 1225069891

LBN Legal business name ADVANTAGE OPEN MRI OF TAMPA

Authorized official GARY SMITH - (PRESIDENT OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/05/2006

Last updated 07/16/2008 - About 18 years ago

Identifiers

FL	License #	8176
FL	License #	HCC6139

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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