Organization
ADVANCED DIAGNOSTIC MEDICAL IMAGING, INC.
Active
Parent organization
ADVANCED PAIN CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PAIN CARE, INC
Authorized official
DR. STANLEY R DENNISON JR. M.D (MEDICAL DIRECTOR)
(813) 876-7600
Entity
Organization
Contact information
Practice address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(813) 876-7600
(813) 876-7675
Mailing address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(813) 876-7600
(813) 876-7675
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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