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NPI Code Detail

MEDICARE: SUNCOAST MRI, INC.

MEDICARE: SUNCOAST MRI, 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
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center
2261QR0200XRadiology Clinic/Center
3261QR0206XMammography Clinic/Center
4261QM1200XMagnetic Resonance Imaging (MRI) Clinic/CenterHCC8591FL

General Provider Information

NPI Number : 1851527139
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNCOAST MRI, INC.
Provider Business Mailing Address
First Line : 3010 E 138TH AVE STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33613-3902
Country : US
Telephone Number : 813-569-0794
Fax Number : 813-333-7358
Provider Business Practice Location Address
First Line : 3010 E 138TH AVE STE 100
Second Line :
City : TAMPA
State : FL
Zip : 33613-3902
Country : US
Telephone Number : 813-569-0794
Fax Number : 813-333-7358
Authorized Official
Title or Position : PRESIDENT
Name : WILHELM RAMEAU
Credential :
Telephone Number : 813-569-0794
Provider Enumeration Date : 06/01/2009
Last Update Date : 03/25/2011

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