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Organization

ADVANTAGE OPEN MRI INC

Active
Other names
Advantage Out Patient Imaging Center
Organization subpart
No

Provider details

NPI number
Authorized official
GARY MARK SMITH (OWNER PRESIDENT)
(727) 343-6674
Entity
Organization

Contact information

Practice address
6705 38TH AVE N, #A, ST PETERSBURG, FL 33710
(727) 343-6674
(727) 343-6675
Mailing address
PO BOX 20724, TAMPA, FL 33622-0724
(727) 343-6674
(727) 343-6675

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
05/26/2006
Last updated
05/14/2008
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