Organization
STERN, DRAKE, ISBELL & ASSOCIATES, PA
Active
Other names
SDI Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BERLET MD (MEDICAL DIRECTOR)
(813) 348-6952
Entity
Organization
Contact information
Practice address
4516 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 348-6952
(813) 348-6999
Mailing address
PO BOX 403444, ATLANTA, GA 30384-3444
(813) 348-6952
(813) 348-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00748
BC BS OF FLORIDA
FL
05
—
056471100
—
FL
01
—
CI3708
RR MEDICARE
FL
01
—
V2862
BC BS OF FLORIDA
FL
01
—
V2863
BC BS OF FLORIDA
FL
01
—
V3256
BC BS OF FLORIDA
FL
Enumeration date
02/27/2006
Last updated
05/16/2014
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