Organization
MRI ASSOCIATES OF WINTER HAVEN LLC
Active
Other names
Winter Haven MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (DIRECTOR)
(727) 787-6900
Entity
Organization
Contact information
Practice address
409 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 294-0999
(863) 294-0010
Mailing address
409 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 294-0999
(863) 294-0100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC9859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113976600
—
FL
01
—
HCC9859
AGENCY FOR HEALTHCARE ADMINISTRATION
FL
01
—
V00AV
BCBS
FL
Enumeration date
08/14/2012
Last updated
05/07/2025
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