Provider Demographics
NPI:1871720060
Name:TOWER INTERVENTIONAL ONCOLOGY AND VASCULAR CENTER INC
Entity type:Organization
Organization Name:TOWER INTERVENTIONAL ONCOLOGY AND VASCULAR CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-251-5822
Mailing Address - Street 1:2700 UNIVERSITY SQUARE DR
Mailing Address - Street 2:TOWER INTERVENTIONAL ONCOLOGY AND VASCULAR CENTER INC
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5513
Mailing Address - Country:US
Mailing Address - Phone:813-251-5822
Mailing Address - Fax:813-253-2299
Practice Address - Street 1:3069 GRAND PAVILION DR
Practice Address - Street 2:TOWER INTERVENTIONAL ONCOLOGY AND VASCULAR CENTER INC
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3757
Practice Address - Country:US
Practice Address - Phone:813-387-1354
Practice Address - Fax:813-879-1809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty