Provider First Line Business Practice Location Address:
14499 N DALE MABRY HWY
Provider Second Line Business Practice Location Address:
TOWER RADIOLOGY CENTER CARROLLWOOD STE 150
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33618-2078
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-968-6998
Provider Business Practice Location Address Fax Number:
813-968-1456
Provider Enumeration Date:
04/06/2006