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Organization
SAPPHIRE BRANDON LTD
Active
Organization
SAPPHIRE BRANDON LTD
Active
Other names
Brandon Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY STONE (PRESIDENT AND CEO)
(813) 205-0312
Entity
Organization
Contact information
Practice address
615 VONDERBURG DR, BRANDON, FL 33511-5972
(813) 657-5579
(813) 675-6130
Mailing address
615 VONDERBURG DR, BRANDON, FL 33511-5972
(813) 205-0312
(813) 657-6130
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC4890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030708400
—
FL
Enumeration date
12/28/2005
Last updated
09/16/2011
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