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Organization

SOUTH BAY HOSPITAL OUTPATIENT DIAG/IMAGING CTR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIS NORSOPH M.D. (HEAD OF RADIOLOGY)
(813) 899-6226
Entity
Organization

Contact information

Practice address
4051 UPPER CREEK DR, SUITE 103, SUN CITY CENTER, FL 33573-6825
(813) 899-6226
Mailing address
6983 E. FOWLER AVE, TAMPA, FL 33617
(813) 899-6226

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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