| Homosassa Open Mri Inc | |
|
8464 W Aquaduct St Homosassa FL 34448-2724 | |
| (888) 273-3445 | |
| (352) 628-4801 |
| Full Name | Homosassa Open Mri Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8464 W Aquaduct St, Homosassa, Florida |
| Authorized Official Name and Position | John P Stagg (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2252707077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homosassa Open Mri Inc 4241 Veterans Memorial Blvd Ste 200 Metairie LA 70006-5430 Ph: (888) 273-3344 | Homosassa Open Mri Inc 8464 W Aquaduct St Homosassa FL 34448-2724 Ph: (888) 273-3445 |
| NPI Number | 1265512305 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 12/02/2022 |
| Medicare PECOS PAC ID | 1850301912 |
|---|---|
| Medicare Enrollment ID | O20060503000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265512305 | NPI | - | NPPES |
| 030734300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261QM1200X (Florida) | Primary |
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