MEDICARE: SOLAR IMAGING, LLC

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
1	261QR0200X	Radiology Clinic/Center	CH8433	FL

General Provider Information

NPI Number	:	1083849830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLAR IMAGING, LLC

Provider Business Mailing Address
First Line	:	2221 N HIMES AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3139
Country	:	US
Telephone Number	:	813-516-9729
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 N HIMES AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3139
Country	:	US
Telephone Number	:	813-516-9729
Fax Number	:

Authorized Official
Title or Position	:	DC MANGER
Name	:	DR. RICARDO RAMOS
Credential	:	D.C.
Telephone Number	:	813-516-9729

Provider Enumeration Date	:	05/22/2009
Last Update Date	:	05/22/2009

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Directions to “SOLAR IMAGING, LLC ” Practice Location

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