Organization
U I F INC
Active
Other names
Ultra Imaging of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CAMPELLONE (OWNER)
(941) 780-0210
Entity
Organization
Contact information
Practice address
1611 HYDE PARK ST, SARASOTA, FL 34239-2138
(941) 952-1400
(941) 952-1407
Mailing address
PO BOX 3977, SARASOTA, FL 34230-3977
(941) 952-1400
(941) 952-1407
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
HCC8417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F107240
FREEDOM HEALTH CARE
FL
01
—
HCC8417
AHCA CLINIC LICENSE
FL
01
—
V004Q
BCBS
FL
Enumeration date
02/05/2009
Last updated
02/01/2012
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