Organization
DIAGNOSTIC OUTPATIENT CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY J WILLIAMS (OWNER)
(727) 896-2202
Entity
Organization
Contact information
Practice address
400 12TH AVE N, ST PETERSBURG, FL 33701-1120
(727) 896-2202
Mailing address
400 12TH AVE N, ST PETERSBURG, FL 33701-1120
(727) 896-2202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC3858
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3858
STATE LICENSE
FL
Enumeration date
12/19/2017
Last updated
12/19/2017
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