Organization
SIMONMED IMAGING FLORIDA LLC
Active
Organization
SIMONMED IMAGING FLORIDA LLC
Active
Other names
SIMONMED IMAGING TAMPA
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JOHN SIMON MD (CEO/OWNER)
(602) 809-6623
Entity
Organization
Contact information
Practice address
14302 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2601
(813) 979-7580
Mailing address
6900 E CAMELBACK RD STE 700, SCOTTSDALE, AZ 85251-2400
(480) 306-6949
(602) 302-5706
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
261QR0207X
Mobile Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004602901
—
FL
05
—
004602902
—
FL
05
—
004602903
—
FL
05
—
004602904
—
FL
05
—
004602905
—
FL
05
—
004602906
—
FL
05
—
004602907
—
FL
05
—
004602908
—
FL
05
—
004602909
—
FL
05
—
004602910
—
FL
01
—
DS5839
RAILROAD MEDICARE
FL
01
—
FW240
SIMONMED IMAGING OCOEE II
FL
01
—
FW240A
SIMONMED IMAGING SUN CITY
FL
Enumeration date
11/14/2011
Last updated
08/03/2022
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