Provider First Line Business Practice Location Address:
4719 N HABANA AVE
Provider Second Line Business Practice Location Address:
TOWER RADIOLOGY CENTER HABANA
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33614-7105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-874-7000
Provider Business Practice Location Address Fax Number:
813-874-5534
Provider Enumeration Date:
04/06/2006