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Organization
IMAGES MEDICAL CLINIC PA
Active
Organization
IMAGES MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASIE RUSSELL APRN (OWNER)
(813) 444-7311
Entity
Organization
Contact information
Practice address
38176 MEDICAL CENTER AVE, ZEPHYRHILLS, FL 33540-1380
(813) 444-7311
(813) 488-0011
Mailing address
PO BOX 7062, WESLEY CHAPEL, FL 33545-0100
(813) 444-7311
(813) 488-0011
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
11/20/2020
Last updated
03/07/2023
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