# ADVENTHEALTH WEST FLORIDA IMAGING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AdventHealth Imaging Center Brandon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619500881
- **Authorized official:** L SCOTT GARRETT (REGIONAL CORPORATE RESPONS OFFICER)
- **Authorized official phone:** (813) 803-4022

## Contact information

- **Practice address:** 305 E BRANDON BLVD STE B, BRANDON, FL 33511-5222
- **Practice address phone:** (813) 548-8550
- **Practice address fax:** (813) 548-8596
- **Mailing address:** 14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
- **Mailing address phone:** (813) 803-4022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 11/05/2021