Organization
ADVANCED IMAGING, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK J. CAROLAN MD (PRESIDENT)
(727) 725-6491
Entity
Organization
Contact information
Practice address
1840 MEASE DR, SUITE 103, SAFETY HARBOR, FL 34695-6602
(727) 725-6491
Mailing address
PO BOX 14959, CLEARWATER, FL 33766-4959
(727) 793-9300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34304
BCBS
FL
Enumeration date
12/07/2005
Last updated
07/21/2022
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