Organization
PASCO IMAGING CONSULTANTS, PL
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
5637 MARINE PARKWAY, NEW PORT RICHEY, FL 34652-4316
(727) 848-1733
(813) 985-8006
Mailing address
PO BOX 20627, TAMPA, FL 33622-0627
(813) 899-6226
(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
4400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278038100
—
FL
01
—
4400
STATE LICENSE #
FL
Enumeration date
02/19/2007
Last updated
03/25/2015
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