Organization
BLOOMINGDALE RADIOLOGY CORP
Active
Other names
BLOOMINGDALE RADIOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G WINTER (PRESIDENT)
(772) 463-8256
Entity
Organization
Contact information
Practice address
3350 BELL SHOALS RD, BRANDON, FL 33511-7637
(813) 654-4883
(813) 676-0339
Mailing address
PO BOX 931083, ATLANTA, GA 31193-1083
(772) 600-0324
(772) 600-0327
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3759
FL
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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