=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346677440
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWER IMAGING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/03/2013
-----------------------------------------------------
Last Update Date | 04/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 414 W ROBERTSON ST
-----------------------------------------------------
City | BRANDON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33511-5007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-657-6767
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8800 GRAND OAK CIR STE 400
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33637-2006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-253-2721
-----------------------------------------------------
Fax | 813-254-4597
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP ENTERPRISE IMAGING
-----------------------------------------------------
Name | SHERRI LEWMAN
-----------------------------------------------------
Credential | MHA
-----------------------------------------------------
Telephone | 813-261-2400
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------