Organization
TAMPA BAY RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT L DROZDOW MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
(813) 985-8006
Mailing address
PO BOX 3381, INDIANAPOLIS, IN 46206-3381
(866) 645-8219
(866) 645-8219
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
0013389/06-00020530
FL
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013389/06-00020530
OCCUPATIONAL LICENSE
FL
Enumeration date
05/30/2006
Last updated
05/11/2020
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