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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