Organization
MRI ASSOCIATES OF BRADENTON LLC
Active
Other names
Bradenton MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CAO)
(727) 787-6900
Entity
Organization
Contact information
Practice address
5817 21ST AVE W, BRADENTON, FL 34209-5641
(941) 567-4039
(941) 567-4041
Mailing address
5817 21ST AVE W, BRADENTON, FL 34209-5641
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC8214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114332800
—
FL
01
—
I059K
BCBS
FL
Enumeration date
03/23/2016
Last updated
05/07/2025
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