MEDICARE: SUN CITY IMAGING LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center
2	261QR0206X	Mammography Clinic/Center
3	261QR0200X	Radiology Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00277443	OTHER	FL	RR MEDICARE

General Provider Information

NPI Number	:	1669478012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUN CITY IMAGING LLC

Provider Business Mailing Address
First Line	:	3862 SUN CITY CENTER BLVD
Second Line	:
City	:	SUN CITY
State	:	FL
Zip	:	33573
Country	:	US
Telephone Number	:	813-657-7575
Fax Number	:	813-684-3040

Provider Business Practice Location Address
First Line	:	3862 SUN CITY CENTER BLVD
Second Line	:
City	:	SUN CITY
State	:	FL
Zip	:	33573
Country	:	US
Telephone Number	:	813-657-7575
Fax Number	:	813-684-3040

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	MR. LAVELLE HARDIN
Credential	:
Telephone Number	:	615-344-8203

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	03/18/2008

Similar Medicare Providers

1932407897 — ALYSON ANNE BURKEYBILE PA-C
Practice Location Address:

787 CORTARO DR
SUN CITY CENTER, FL
33573-6812

Practice Phone: 813-634-2500
Practice Fax: 813-634-3008

1992531354 — BALSEIRO BEHAVIOR SERVICES
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 202
SUN CITY CENTER, FL
33573-5708

Practice Phone: 786-771-7986
Practice Fax:

1629408869 — DR. JUSTIN VOGT PHARM.D
Practice Location Address:

4584 SUN CITY CENTER BOULEVARD
SUN CITY CENTER, FL
33573-6281

Practice Phone: 813-634-2924
Practice Fax: 813-634-5740

1760339022 — KATHRYN L WARNER
Practice Location Address:

14218 RIVA RIDGE PL
SUN CITY CENTER, FL
33573-3301

Practice Phone: 904-412-6964
Practice Fax:

1477115293 — MAGGIE J WASHINGTON
Practice Location Address:

3848 SUN CITY CENTER BLVD STE 104-1097
RUSKIN, FL
33573-6068

Practice Phone: 813-212-7255
Practice Fax:

1225157415 — SUN HILL OPTICAL INC
Practice Location Address:

1601 RICKENBACKER DR STE 8
SUN CITY CENTER, FL
33573-5332

Practice Phone: 813-634-6344
Practice Fax: 813-634-1018

1801890348 — DR. LINDA F MASCETTI PH.D.
Practice Location Address:

1258 LYNDHURST GREENS DR
SUN CITY CENTER, FL
33573-7160

Practice Phone: 813-938-4119
Practice Fax:

Directions to “SUN CITY IMAGING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.