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Organization
MRI ASSOCIATES OF PALM HARBOR, INC
Active
Organization
MRI ASSOCIATES OF PALM HARBOR, INC
Active
Other names
Palm Harbor MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CHIEF ADMINISTRATIVE OFFICER)
(727) 787-6900
Entity
Organization
Contact information
Practice address
32615 US HIGHWAY 19 N, SUITE 4, PALM HARBOR, FL 34684-3176
(727) 787-6900
(727) 216-4789
Mailing address
32615 US HIGHWAY 19 N, SUITE 4, PALM HARBOR, FL 34684-3176
(727) 787-6900
(727) 787-2754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC3787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021547100
—
FL
01
—
219693
AVMED
FL
01
—
3405272
UNITED HEALTHCARE
FL
01
—
5477442003
CIGNA
FL
01
—
630000865
RR MEDICARE
FL
01
—
974079
AETNA
FL
01
—
V2581
BC/BS
FL
Enumeration date
03/28/2006
Last updated
05/07/2025
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