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	2085N0904X	Nuclear Radiology Physician
2	2085P0229X	Pediatric Radiology Physician
3	261QR0200X	Radiology Clinic/Center	HCC1656	FL
4	2085R0202X	Diagnostic Radiology Physician

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	:	1396707063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWER IMAGING LLC

Provider Business Mailing Address
First Line	:	8800 GRAND OAK CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33637-2006
Country	:	US
Telephone Number	:	813-251-5822
Fax Number	:	813-254-4597

Provider Business Practice Location Address
First Line	:	4719 N HABANA AVE
Second Line	:	TOWER RADIOLOGY CENTER HABANA
City	:	TAMPA
State	:	FL
Zip	:	33614-7105
Country	:	US
Telephone Number	:	813-874-7000
Fax Number	:	813-874-5534

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	04/14/2025

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Directions to “TOWER IMAGING LLC ” Practice Location

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