Organization
ST JOSEPH'S DIAGNOSTIC CENTER, LTD
Active
Other names
Westchase
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY INZINA (EXEC VP)
(727) 820-8004
Entity
Organization
Contact information
Practice address
10909 W LINEBAUGH AVE, TAMPA, FL 33626-1741
(813) 920-1825
(813) 852-3233
Mailing address
P O BOX 403800, ATLANTA, GA 30384-0001
(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
—
061048800
—
FL
Enumeration date
02/13/2006
Last updated
08/22/2020
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