Organization
MUSCULOSKELETAL INSTITUTE CHARTERED
Active
Other names
Florida Orthopaedic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY W SANDERS MD (PRESIDENT)
(813) 978-9700
Entity
Organization
Contact information
Practice address
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511-5015
(813) 657-8448
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
MRAP02641-02
FL
261QR0200X
Radiology Clinic/Center
JR28873000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V3331
BCBS IDTF BRANDON
FL
Enumeration date
08/19/2008
Last updated
02/06/2019
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