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Organization
ADVANTAGE OPEN MRI
Active
Organization
ADVANTAGE OPEN MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MARK SMITH (PRESIDENT & OWNER)
(727) 939-2674
Entity
Organization
Contact information
Practice address
1200 S PINELLAS AVE, #14, TARPON SPRINGS, FL 34689
(727) 939-2674
(727) 939-2000
Mailing address
1200 S PINELLAS AVE, #14, TARPON SPRINGS, FL 34689
(727) 939-2674
(727) 939-2000
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
9979
—
261QR0200X
Radiology Clinic/Center
Primary
HCC5730
—
Other
Enumeration date
05/28/2006
Last updated
09/11/2025
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