Organization
PINELLAS RADIATION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRILL L FETTING (BUSINESS MANAGER)
(727) 343-0600
Entity
Organization
Contact information
Practice address
1201 5TH AVE N STE 120, ST PETERSBURG, FL 33705-1410
(727) 343-0600
(727) 344-6163
Mailing address
PO BOX 148, ST PETERSBURG, FL 33731-0148
(727) 343-0600
(727) 344-6163
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060217500 01
—
FL
Enumeration date
12/01/2006
Last updated
08/22/2020
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