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Organization

PASCO IMAGING CONSULTANTS

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
13100 FORT KING ROAD, DADE CITY, FL 33525-5294
(352) 521-1100
(813) 985-8006
Mailing address
PO BOX 20627, TAMPA, FL 33622-0627
(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
278038102
FL
Enumeration date
02/07/2013
Last updated
03/25/2015
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