Healthcare Provider Details

I. General information

NPI: 1386807881
Provider Name (Legal Business Name): MRI ASSOCIATES OF TAMPA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 TOUCAN TRL
SPRING HILL FL
34607-2642
US

IV. Provider business mailing address

6451 TOUCAN TRL
SPRING HILL FL
34607-2642
US

V. Phone/Fax

Practice location:
  • Phone: 352-684-2811
  • Fax: 352-684-0212
Mailing address:
  • Phone: 352-684-2811
  • Fax: 352-684-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License NumberHCC3801
License Number StateFL

VIII. Authorized Official

Name: MICHELLE WEINHAUER
Title or Position: OFFICE MANAGER
Credential:
Phone: 352-684-2811