SIMONMED IMAGING FLORIDA LLC NPI 1538739479

NPI Information

SIMONMED IMAGING FLORIDA LLC is a diagnostic radiology radiology in St Petersburg, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SIMONMED IMAGING FLORIDA LLC NPI is 1538739479. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Simonmed Imaging St Petersburg.

The provider's business location address is:

840 DR MARTIN LUTHER KING JR ST N STE 100
ST PETERSBURG, FL
ZIP 33705-214
Phone: (727) 440-8250

The provider's authorized official is Howard John Simon .
The authorized official title is Ceo/owner and has the following contact phone number (602) 809-6623.

The CLIA number assigned to this NPI record is 10D2161545 - other - outpatient med imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2021 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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