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Organization
OHI WEST MEDICAL GROUP, LLC
Active
Organization
OHI WEST MEDICAL GROUP, LLC
Active
Other names
Bayfront Health St. Petersburg Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA MOSHER (SR. DIRECTOR, OHRI)
(321) 842-3777
Entity
Organization
Contact information
Practice address
2201 CENTRAL AVE STE 100, ST PETERSBURG, FL 33713-8844
(727) 893-6050
(727) 893-6046
Mailing address
3090 CARUSO CT STE 50, ORLANDO, FL 32806-8510
(407) 481-7174
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
10/26/2023
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