SIMONMED IMAGING FLORIDA LLC NPI 1689317497

NPI Information

SIMONMED IMAGING FLORIDA LLC is a diagnostic radiology radiology in Tampa, 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 1689317497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10010 N DALE MABRY HWY STE 150
TAMPA, FL
ZIP 33618-469
Phone: (813) 964-8439
Fax: (813) 964-0908

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 10D2263191 - other - outpatient medical imagin with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 4/19/2022.

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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