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Organization
MEDICAL TECHNOLOGY TRANSFER CORPORATION
Active
Organization
MEDICAL TECHNOLOGY TRANSFER CORPORATION
Active
Other names
University Center Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WATT (HR MANAGER)
(321) 726-1618
Entity
Organization
Contact information
Practice address
1800 W HIBISCUS BLVD STE 100, MELBOURNE, FL 32901-2624
(321) 726-3800
(321) 726-3849
Mailing address
1800 W HIBISCUS BLVD STE 100, MELBOURNE, FL 32901-2624
(321) 726-3800
(321) 726-3849
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111935400
—
FL
Enumeration date
10/17/2006
Last updated
12/19/2022
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