Healthcare Provider Details

I. General information

NPI: 1083849830
Provider Name (Legal Business Name): SOLAR IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2009
Last Update Date: 05/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 N HIMES AVE
TAMPA FL
33607-3139
US

IV. Provider business mailing address

2221 N HIMES AVE
TAMPA FL
33607-3139
US

V. Phone/Fax

Practice location:
  • Phone: 813-516-9729
  • Fax:
Mailing address:
  • Phone: 813-516-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberCH8433
License Number StateFL

VIII. Authorized Official

Name: DR. RICARDO RAMOS
Title or Position: DC MANGER
Credential: D.C.
Phone: 813-516-9729