Organization
CENTRAL IMAGING OPEN MRI INC
Active
Other names
Central Imaging High Field Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW A BROWN (PRESIDENT/OWNER)
(727) 381-4674
Entity
Organization
Contact information
Practice address
6101 CENTRAL AVE, ST PETERSBURG, FL 33710-8529
(727) 381-4674
(727) 341-1182
Mailing address
PO BOX 946609, ATLANTA, GA 30394-6609
(727) 381-4674
(727) 341-1182
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC3718
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112484800
—
FL
Enumeration date
05/27/2005
Last updated
01/19/2023
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