Provider First Line Business Practice Location Address:
2716 UNIVERSITY SQUARE DR
Provider Second Line Business Practice Location Address:
TOWER BREAST DIAGNOSTIC CENTER NORTHSIDE
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33612-5513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-971-2050
Provider Business Practice Location Address Fax Number:
813-972-4888
Provider Enumeration Date:
01/10/2008