Organization
SUN CITY IMAGING LLC
Active
Other names
Total Imaging of Sun City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B. RUTHERFORD (SENIOR VP)
(615) 309-2190
Entity
Organization
Contact information
Practice address
3862 SUN CITY CENTER BLVD, SUN CITY, FL 33573
(813) 657-7575
(813) 684-3040
Mailing address
3862 SUN CITY CENTER BLVD, SUN CITY, FL 33573
(813) 657-7575
(813) 684-3040
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272082500
—
FL
01
—
P00277443
RR MEDICARE
FL
01
—
V3027
BCBS OF FL
FL
Enumeration date
09/26/2006
Last updated
08/31/2011
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