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NPI Code Detail

MEDICARE: MRI ASSOCIATES OF PALM HARBOR, INC

MEDICARE: MRI ASSOCIATES OF PALM HARBOR, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QR0200XRadiology Clinic/CenterHCC3787FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7630000865OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1974079OTHERFLAETNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35477442003OTHERFLCIGNA
4V2581OTHERFLBC/BS
5219693OTHERFLAVMED
63405272OTHERFLUNITED HEALTHCARE
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568422996
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRI ASSOCIATES OF PALM HARBOR, INC
Provider Business Mailing Address
First Line : 32615 US HIGHWAY 19 N
Second Line : SUITE 4
City : PALM HARBOR
State : FL
Zip : 34684-3176
Country : US
Telephone Number : 727-787-6900
Fax Number : 727-787-2754
Provider Business Practice Location Address
First Line : 32615 US HIGHWAY 19 N
Second Line : SUITE 4
City : PALM HARBOR
State : FL
Zip : 34684-3176
Country : US
Telephone Number : 727-787-6900
Fax Number : 727-216-4789
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : AMANDA MAPLE
Credential :
Telephone Number : 727-787-6900
Provider Enumeration Date : 03/28/2006
Last Update Date : 05/07/2025

Similar Medicare Providers

1326041344 — DR. MITCHELL BRIAN LOWENSTEIN M.D.
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1003898099 — DR. ROGER WILLIAM ALTMAN M.D.
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1902889587 — DR. KAREN E ZAGAR M.D.
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1003876756 — DR. TATIANA P. NAGIBINA M.D.
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1750328811 — DR. PAUL SCOTT DENKER MD
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1427094127 — MS. MARGARET S ALLEN ARNP
Practice Location Address:
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