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Organization
CENTRAL IMAGING OPEN MRI INC
Active
Organization
CENTRAL IMAGING OPEN MRI INC
Active
Other names
Central Imaging High Field Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW A BROWN (PRESIDENT/OWNER)
(727) 381-4674
Entity
Organization
Contact information
Practice address
6101 CENTRAL AVE, ST PETERSBURG, FL 33710-8529
(727) 381-4674
(727) 341-1182
Mailing address
PO BOX 946609, ATLANTA, GA 30394-6609
(727) 381-4674
(727) 341-1182
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112484800
—
FL
Enumeration date
05/27/2005
Last updated
01/19/2023
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