Organization Name: | TOWER IMAGING INC |
NPI Number: | 1790066975 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY T SMITH (CEO) |
Mailing Address: | 500 Vonderburg Dr Suite 111 Brandon |
State: | FL US |
Postal Code: | 335115964 |
Phone Number: | 8136545400 |
Fax Number: | 8134362882 |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 06/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | HCC6551 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |