Organization
MRI ASSOCIATES OF VENICE, LLC
Active
Other names
Venice MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CAO)
(727) 787-6900
Entity
Organization
Contact information
Practice address
1370 E VENICE AVE STE 101, VENICE, FL 34285-9083
(941) 484-6500
(941) 484-6556
Mailing address
1370 E VENICE AVE, SUITE 101, VENICE, FL 34285-9082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC9091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113978000
—
FL
01
—
QHZSH
BCBS
FL
Enumeration date
03/23/2016
Last updated
05/07/2025
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