Provider First Line Business Practice Location Address:
17503 DALE MABRY HWY N
Provider Second Line Business Practice Location Address:
TOWER RADIOLOGY CENTER - N DALE MABRY
Provider Business Practice Location Address City Name:
LUTZ
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33548-4521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-968-4540
Provider Business Practice Location Address Fax Number:
813-968-4502
Provider Enumeration Date:
03/04/2009