SIMONMED IMAGING FLORIDA LLC NPI 1356911291

NPI Information

  • NPI: 1356911291
  • Provider Name: SIMONMED IMAGING FLORIDA LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: SIMONMED IMAGING SUN CITY TAMPA
  • CLIA Number: 10D2137053
  • Address: 4051 UPPER CREEK DR STE 103A
    SUN CITY CENTER, FL
    ZIP 33573
  • Phone: (813) 634-0010

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NPI Details

SIMONMED IMAGING FLORIDA LLC is a diagnostic radiology radiology in Sun City Center, 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 1356911291. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Simonmed Imaging Sun City Tampa.

The provider's business location address is:

4051 UPPER CREEK DR STE 103A
SUN CITY CENTER, FL
ZIP 33573-848
Phone: (813) 634-0010

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 10D2137053 - other - outpatient med imag 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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