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General NPI Number Information
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NPI Number | 1316581234
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Entity Type | Organization
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Legal Business Name | ADVENTHEALTH WEST FLORIDA IMAGING INC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 14055 RIVEREDGE DR STE 250
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City | TAMPA
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State | FL
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Zip | 33637-2141
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Country | US
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Telephone | 813-601-1925
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Fax | 813-436-8437
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Provider Business Mailing Address
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Address Line | 14055 RIVEREDGE DR STE 250
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City | TAMPA
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State | FL
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Zip | 33637-2141
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Country | US
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Telephone | 813-601-1925
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JAMES C PRESSWOOD
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Credential |
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Telephone | 386-615-4237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0207X
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Taxonomy Name | Mobile Mammography Clinic/Center
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License Number |
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License Number State |
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