Healthcare Provider Details

I. General information

NPI: 1477430130
Provider Name (Legal Business Name): TRUESCAN MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5015 4TH ST N
ST PETERSBURG FL
33703-2945
US

IV. Provider business mailing address

5015 4TH ST N
ST PETERSBURG FL
33703-2945
US

V. Phone/Fax

Practice location:
  • Phone: 727-256-0095
  • Fax: 727-954-0000
Mailing address:
  • Phone: 727-256-0095
  • Fax: 727-954-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANDONIADES
Title or Position: OWNER
Credential:
Phone: 727-742-1622