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
4612 N HABANA AVE, FLORIDA CANCER SPECIALISTS # 200, TAMPA, FL 33614-7101
(813) 875-2341
Mailing address
2700 UNIVERSITY SQUARE DR, RADIOLOGY ASSOC OF TAMPA, TAMPA, FL 33612-5513
(813) 251-5822
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
HCC6551
FL
2085B0100X
Body Imaging Physician
HCC6551
FL
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
HCC6551
FL
2085N0700X
Neuroradiology Physician
HCC6551
FL
2085N0904X
Nuclear Radiology Physician
HCC6551
FL
2085P0229X
Pediatric Radiology Physician
HCC6551
FL
2085R0202X
Diagnostic Radiology Physician
Primary
HCC6551
FL
2085R0204X
Vascular & Interventional Radiology Physician
HCC6551
FL
2085U0001X
Diagnostic Ultrasound Physician
HCC6551
FL
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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