Organization
DIVINE BREAST IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GALIARDO (COO)
(727) 608-3013
Entity
Organization
Contact information
Practice address
4336 4TH ST N STE B, SAINT PETERSBURG, FL 33703-4701
(727) 692-6596
Mailing address
4336 4TH ST N STE B, SAINT PETERSBURG, FL 33703-4701
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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