Organization
ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC
Active
Other names
BayCare Outpatient Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
TAMBLYN CUBERO (CFO)
(727) 315-6974
Entity
Organization
Contact information
Practice address
620 10TH ST N STE 100, ST PETERSBURG, FL 33705-1407
(727) 825-1045
Mailing address
2995 DREW STREET, EAST BLDG 2ND FLOOR, CLEARWATER, FL 33759
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019364701
—
FL
Enumeration date
10/30/2012
Last updated
08/21/2023
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