Organization
PASADENA RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIT H. CLARKE M. D. (PRESIDENT)
(727) 341-7552
Entity
Organization
Contact information
Practice address
1501 PASADENA AVENUE SOUTH, ST. PETERSBURG, FL 33707
(727) 381-1000
Mailing address
PO BOX 14609, CLEARWATER, FL 33766-4609
(727) 793-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00461
BCBS
FL
05
—
036532700
—
FL
01
—
CF7473
RR MEDICARE
FL
Enumeration date
12/09/2005
Last updated
07/21/2022
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