Organization
BAYFRONT HEALTH IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization
Contact information
Practice address
2201 CENTRAL AVE, #100, ST PETERSBURG, FL 33713-8844
(727) 321-7057
(727) 321-7049
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
03/01/2017
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