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Organization

ITF MOBILE BX, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENIS WILLIAM STEWART M.D. (PRESIDENT)
(727) 505-3098
Entity
Organization

Contact information

Practice address
4128 CAUSEWAY VISTA DR, TAMPA, FL 33615-5416
(727) 505-3098
(813) 882-3679
Mailing address
4128 CAUSEWAY VISTA DR, TAMPA, FL 33615-5416
(727) 505-3098
(813) 882-3679

Taxonomy

Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
ME 63242
FL

Other

Enumeration date
11/19/2012
Last updated
11/19/2012
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