Organization
IMAGING & RADIOLOGY SPECIALISTS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD A NIEDZWIECKI M.D. (PRESIDENT)
(727) 791-7300
Entity
Organization
Contact information
Practice address
1395 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3790
(727) 942-5000
Mailing address
2655 STATE ROAD 580 STE 202, CLEARWATER, FL 33761-3167
(727) 499-1041
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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