Organization
PORT CHARLOTTE RADIOLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS B NORSOPH MD (PRESIDENT/CEO)
(813) 899-6220
Entity
Organization
Contact information
Practice address
809 E MARION AVE, PUNTA GORDA, FL 33950-3819
(941) 639-3131
(941) 637-2579
Mailing address
100 S ASHLEY DR, SUITE 1500, TAMPA, FL 33602-5304
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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