MEDICARE: TOWER 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	2085R0202X	Diagnostic Radiology Physician	HCC6551	ZZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386087278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWER IMAGING LLC

Provider Business Mailing Address
First Line	:	8800 GRAND OAK CIR STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-2006
Country	:	US
Telephone Number	:	813-253-2721
Fax Number	:	813-254-4597

Provider Business Practice Location Address
First Line	:	10621 BIG BEND RD
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-7176
Country	:	US
Telephone Number	:	813-253-2721
Fax Number	:	813-253-2299

Authorized Official
Title or Position	:	SVP ENTERPRISE IMAGING
Name	:	SHERRI LEWMAN
Credential	:	MHA
Telephone Number	:	813-261-2400

Provider Enumeration Date	:	04/10/2013
Last Update Date	:	04/14/2025

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