Organization
RADIOLOGY ASSOCIATES OF TAMPA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY SMITH (CEO)
(813) 251-5822
Entity
Organization
Contact information
Practice address
3030 6TH ST S, RADIOLOGY ASSOC OF TAMPA AT KINDRED HOSPITAL BAY AREASP, ST PETERSBURG, FL 33705-3720
(727) 894-8719
Mailing address
2700 UNIVERSITY SQUARE DR, RAT AT KINDRED HOSP BAY AREA ST PETERSBURG, TAMPA, FL 33612-5513
(813) 251-5822
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262968207
—
FL
Enumeration date
05/14/2008
Last updated
08/27/2009
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