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NPI Code Detail

MEDICARE: TOWER IMAGING LLC

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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1750935409
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 : 5539 MARINE PKWY
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4329
Country : US
Telephone Number : 727-847-5122
Fax Number : 727-846-8549
Authorized Official
Title or Position : SVP ENTERPRISE IMAGING
Name : SHERRI LEWMAN
Credential : MHA
Telephone Number : 813-261-2400
Provider Enumeration Date : 07/31/2019
Last Update Date : 04/14/2025

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