Organization
SRA VENTURES INC
Active
Parent organization
SRA VENTURES INC
Other names
WESTCOAST RADIOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRA VENTURES INC
Authorized official
DR. ANTHONY ABOUD DO (CEO)
(727) 446-6760
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE, #15, CLEARWATER, FL 33756-5945
(727) 446-6760
(727) 441-2465
Mailing address
501 S LINCOLN AVE, #15, CLEARWATER, FL 33756-5901
(727) 446-6760
(727) 441-2465
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
HCC2621
FL
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
08/29/2005
Last updated
04/05/2012
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