# ADVANTAGE OPEN MRI OF TAMPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225069891
- **Authorized official:** GARY MARK SMITH (PRESIDENT OWNER)
- **Authorized official phone:** (727) 939-2674

## Contact information

- **Practice address:** 3104 W WATERS AVE, \#14, TAMPA, FL 33634
- **Practice address phone:** (813) 935-5332
- **Practice address fax:** (813) 933-5849
- **Mailing address:** 101 E KENNEDY BLVD, SUITE 2350, TAMPA, FL 33602-5179
- **Mailing address phone:** (813) 463-4441
- **Mailing address fax:** (813) 849-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 8176 | FL | Yes |
| 261QR0200X | Radiology Clinic/Center | HCC6139 | FL | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 07/16/2008