Organization
TAMPA BAY RADIOLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS B. NORSOPH M.D. (PRESIDENT)
(813) 899-6220
Entity
Organization
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 985-8006
Mailing address
PO BOX 47509, TAMPA, FL 33647-0113
(813) 899-6220
(813) 985-8006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0013226 /06-00019907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38412
BCBS OF FLORIDA PROV #
FL
Enumeration date
05/15/2006
Last updated
08/22/2020
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