Organization
RADIOLOGY ASSOCIATES OF TAMPA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY SMITH (CHIEF EXECUTIVE OFFICER)
(813) 251-5822
Entity
Organization
Contact information
Practice address
1 TAMPA GENERAL CIR, RADIOLOGY ASSOC OF TAMPA AT TAMPA GENERAL HOSPITAL, TAMPA, FL 33606-3571
(813) 844-7444
(813) 844-4144
Mailing address
2700 UNIVERSITY SQUARE DR, RAT AT TAMPA GENERAL HOSPITAL, TAMPA, FL 33612-5513
(813) 251-5822
(813) 254-4597
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262968200
—
FL
Enumeration date
04/06/2006
Last updated
08/27/2009
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