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Organization
MRI ASSOCIATES OF VENICE, LLC
Active
Organization
MRI ASSOCIATES OF VENICE, LLC
Active
Other names
Venice MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CAO)
(727) 787-6900
Entity
Organization
Contact information
Practice address
1370 E VENICE AVE STE 101, VENICE, FL 34285-9083
(941) 484-6500
(941) 484-6556
Mailing address
1370 E VENICE AVE, SUITE 101, VENICE, FL 34285-9082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC9091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113978000
—
FL
01
—
QHZSH
BCBS
FL
Enumeration date
03/23/2016
Last updated
05/07/2025
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