Organization
MRI ASSOCIATES OF PALM HARBOR, INC
Active
Other names
Palm Harbor MRI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAPLE (CHIEF ADMINISTRATIVE OFFICER)
(727) 787-6900
Entity
Organization
Contact information
Practice address
32615 US HIGHWAY 19 N, SUITE 4, PALM HARBOR, FL 34684-3176
(727) 787-6900
(727) 216-4789
Mailing address
32615 US HIGHWAY 19 N, SUITE 4, PALM HARBOR, FL 34684-3176
(727) 787-6900
(727) 787-2754
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC3787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021547100
—
FL
01
—
219693
AVMED
FL
01
—
3405272
UNITED HEALTHCARE
FL
01
—
5477442003
CIGNA
FL
01
—
630000865
RR MEDICARE
FL
01
—
974079
AETNA
FL
01
—
V2581
BC/BS
FL
Enumeration date
03/28/2006
Last updated
05/07/2025
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