Organization
PASCO IMAGING CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS B NORSOPH M.D. (PRESIDENT)
(813) 899-6220
Entity
Organization
Contact information
Practice address
9330 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 834-5640
Mailing address
PO BOX 20627, TAMPA, FL 33622-0627
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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