Organization
MORTON PLANT HEALTH SERVICES, INC
Active
Other names
Carlisle Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COURIS (VP OPERATIONS)
(727) 462-7746
Entity
Organization
Contact information
Practice address
1240 S FORT HARRISON AVE, CLEARWATER, FL 33756-3308
(727) 462-7514
Mailing address
P O BOX 404841, ATLANTA, GA 30384-0001
(813) 852-3272
(813) 852-3233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636592-01
—
FL
Enumeration date
11/11/2005
Last updated
01/16/2019
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