Healthcare Provider Details

I. General information

NPI: 1396707063
Provider Name (Legal Business Name): TOWER IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4719 N HABANA AVE TOWER RADIOLOGY CENTER HABANA
TAMPA FL
33614-7105
US

IV. Provider business mailing address

8800 GRAND OAK CIR
TAMPA FL
33637-2006
US

V. Phone/Fax

Practice location:
  • Phone: 813-874-7000
  • Fax: 813-874-5534
Mailing address:
  • Phone: 813-251-5822
  • Fax: 813-254-4597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC1656
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SHERRI LEWMAN
Title or Position: SVP ENTERPRISE IMAGING
Credential: MHA
Phone: 813-261-2400