Organization
SOUTH BAY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HANKINS (CFO)
(813) 634-8329
Entity
Organization
Contact information
Practice address
4051 UPPER CREEK DR, SUITE 103, SUN CITY CENTER, FL 33573-6825
(813) 634-8329
Mailing address
4051 UPPER CREEK DR, SUITE 103, SUN CITY CENTER, FL 33573-6825
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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