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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