Organization
MEDICAL TECHNOLOGY TRANSFER CORPORATION
Active
Other names
University Center Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WATT (HR MANAGER)
(321) 726-1618
Entity
Organization
Contact information
Practice address
1800 W HIBISCUS BLVD STE 100, MELBOURNE, FL 32901-2624
(321) 726-3800
(321) 726-3849
Mailing address
1800 W HIBISCUS BLVD STE 100, MELBOURNE, FL 32901-2624
(321) 726-3800
(321) 726-3849
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111935400
—
FL
Enumeration date
10/17/2006
Last updated
12/19/2022
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