MRI ASSOCIATES OF PALM HARBOR INC
Radiology at Us Highway 19, Palm Harbor, FL

License number
Florida HCC3787
Category
Ambulatory Health
Type
Radiology
Owner
Name: GREG S DAVIS
Title: VICE PRESIDENT
Phone: (727) 787-6900
Address
Address
32615 Us Highway 19 N SUITE 4, Palm Harbor, FL 34684
National Provider ID: 1568422996
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MRI ASSOCIATES OF PALM HARBOR, INC

Palm Harbor, FL

Status:
Inactive
Industry:
Medical Laboratory
Doing business as:
Palm Harbor M R I'<br>Palm Harbor M R I’
Inactive reason:
REINSTATEMENT
Registration:
Feb 28, 1995
Inactive since:
Apr 29, 1998
Phone:
(727) 787-6900 (Phone)
Addresses:
32615 Us 19 N SUITE 4, Palm Harbor, FL 34684 (Physical)
32615 Us Hwy 19 N, Palm Harbor, FL 34684
State ID:
P95000016366
Business type:
Florida Profit Corporation
S:
Frank Diecidue (President), 4880 Dover St NE, Saint Petersburg, FL 33703 (Physical),Gregory S Davis (Vice President), 556 13 Ave NE, Saint Petersburg, FL 33701 (Physical),Donna Diecidue (Secretary), 4880 Dover St NE, Saint Petersburg, FL 33703 (Physical),...
Agent:
Gregory Davis,556 13 Ave NE, Saint Petersburg, FL 33701 (Physical)
EIN:
59-3299683

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