Organization
MARU DIAGNOSTIC IMAGING SERVICES PA
Active
Organization
MARU DIAGNOSTIC IMAGING SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY BRIAN MARU M.D. (PRESIDENT)
(813) 639-1674
Entity
Organization
Contact information
Practice address
4325 HENDERSON BLVD, TAMPA, FL 33629-5612
(813) 639-1674
(813) 639-1613
Mailing address
4325 HENDERSON BLVD, TAMPA, FL 33629-5612
(813) 639-1674
(813) 639-1613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 107580
FL
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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