Organization
MORTON PLANT HEALTH SERVICES, INC
Active
Other names
Baycare Outpatient Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
TAMBLYN CUBERO (MANAGER)
(727) 281-9390
Entity
Organization
Contact information
Practice address
2102 TRINITY OAKS BLVD, TRINITY, FL 34655-4409
(727) 372-4000
Mailing address
2995 DREW STREET, EAST BLDG 2ND FLOOR, CLEARWATER, FL 33759
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063659203
—
FL
Enumeration date
12/23/2014
Last updated
01/16/2019
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