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NPI Code Detail

MEDICARE: MUSCULOSKELETAL INSTITUTE CHARTERED

MEDICARE: MUSCULOSKELETAL INSTITUTE CHARTERED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1073233060
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUSCULOSKELETAL INSTITUTE CHARTERED
Provider Business Mailing Address
First Line : 13020 N TELECOM PKWY
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33637
Country : US
Telephone Number : 813-978-9700
Fax Number :
Provider Business Practice Location Address
First Line : 5016 W CYPRESS ST STE 210
Second Line :
City : TAMPA
State : FL
Zip : 33607-3809
Country : US
Telephone Number : 813-978-9700
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROY W SANDERS
Credential :
Telephone Number : 813-978-9700
Provider Enumeration Date : 08/30/2022
Last Update Date : 08/30/2022

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Directions to “MUSCULOSKELETAL INSTITUTE CHARTERED ” Practice Location

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