Organization
MORTON PLANT HEALTH SERVICES
Active
Other names
Womens Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COURIS (VP)
(727) 843-4500
Entity
Organization
Contact information
Practice address
27001 US HIGHWAY 19 N, SUITE 8280, CLEARWATER, FL 33761-3402
(727) 796-2056
Mailing address
PO BOX 404841, ATLANTA, GA 30384-4841
(813) 852-3272
(813) 852-3233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636592-07
—
FL
Enumeration date
06/25/2008
Last updated
06/25/2008
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