Provider First Line Business Practice Location Address:
1 TAMPA GENERAL CIRCLE
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-253-2721
Provider Business Practice Location Address Fax Number:
813-977-3720
Provider Enumeration Date:
09/20/2005