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Organization
NEW TAMPA IMAGING CENTER
Active
Organization
NEW TAMPA IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN W WYLIE II (REGIONAL VICE PRESIDENT OF OPERATIO)
(813) 657-4914
Entity
Organization
Contact information
Practice address
14302 BRUCE B DOWNS BLVD, TAMPA, FL 33613
(813) 975-1111
(813) 975-0555
Mailing address
122 LINSLEY AVENUE, SUITE A, BRANDON, FL 33511
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
09/11/2025
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