Organization
SUNCOAST MEDICAL IMAGING ASSOCIATES
Active
Other names
SCMI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J KUDELKO D.O. (CHIEF RADIOLOGIST)
(727) 446-5150
Entity
Organization
Contact information
Practice address
2025 INDIAN ROCKS RD S, RADIOLOGY DEPARTMENT, LARGO, FL 33774-1035
(727) 446-5150
(727) 446-6889
Mailing address
PO BOX 1391, LARGO, FL 33779-1391
(727) 446-5150
(727) 446-6889
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99746
GROUP PIN NUMBER
FL
Enumeration date
11/21/2006
Last updated
08/22/2020
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