Sapphire Brandon LTD

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC4890 Issued in FL

Legal business name

SAPPHIRE BRANDON LTD

Practice address

615 Vonderburg Dr
Brandon, FL 33511-5972

Phone

(813) 657-5579

Fax

(813) 675-6130

NPI assigned

Dec 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Stone

Title

President and Ceo

Phone

(813) 205-0312

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brandon Open MRI Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1922085208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-205-0312",
            "fax_number": "813-657-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VONDERBURG DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115972",
            "telephone_number": "813-657-5579",
            "fax_number": "813-675-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAPPHIRE BRANDON LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-205-0312"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC4890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030708400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romel Powell Santiago, LCSW
• William Santiago, PHARM D, RPH
• Ana Paola Santos-Levy, PA
• Mariely Maritza Santos, DENTIST
• Santurce Medical Center LLC
• Morgan Elizabeth Sarab
• Melody Sarmiento Alonso
• Regino Israel Sarmiento Reyes, APRN-FNP-C
• Shara Jane Lugtu Sarmiento
• Srinivasan Sathya, M.D.

• Radiology Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.