Provider First Line Business Practice Location Address:
2 TAMPA GENERAL CIR # 7035
Provider Second Line Business Practice Location Address:
USF DEPT OF RADIOLOGY, SOUTH TAMPA CENTER
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33606-3603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-250-2111
Provider Business Practice Location Address Fax Number:
813-250-2547
Provider Enumeration Date:
02/09/2015