Organization
ULTRA IMAGING OF TAMPA, LLC
Active
Other names
dba Ultra Imaging of Palm Harbor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
36452 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1330
(727) 771-2674
(727) 781-6376
Mailing address
36452 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1330
(727) 771-2674
(727) 781-6376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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