Organization
SOUTH BAY HOSPITAL OUTPATIENT DIAG/IMAGING CTR
Active
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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