Organization
LARGO RADIOLOGY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIS B. NORSOPH MD (PRESIDENT/CEO)
(813) 899-6220
Entity
Organization
Contact information
Practice address
201 14TH ST SW, LARGO, FL 33770-3133
(727) 588-5200
(813) 985-8006
Mailing address
PO BOX 22467, TAMPA, FL 33622-2467
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004591300
—
FL
Enumeration date
08/17/2011
Last updated
03/25/2015
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