SAPPHIRE BRANDON LTD NPI 1922085208

NPI Information

NPI: 1922085208
Provider Name: SAPPHIRE BRANDON LTD

Doing Business As: BRANDON OPEN MRI

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
615 VONDERBURG DR
BRANDON, FL
ZIP 33511
Phone: (813) 657-5579
Get Directions

SAPPHIRE BRANDON LTD is a radiology clinic center in Brandon, FL. SAPPHIRE BRANDON LTD NPI is 1922085208. The provider is registered as an organization entity type.
The provider Is Doing Business As Brandon Open Mri.

The provider's business location address is:

615 VONDERBURG DR
BRANDON, FL
ZIP 33511-972
Phone: (813) 657-5579
Fax: (813) 675-6130

The provider's authorized official is Jeffrey Stone .
The authorized official title is President And Ceo and has the following contact phone number (813) 205-0312.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	HCC4890	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	030708400	MEDICAID	FLORIDA
2	E6450	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »