Organization
ST. ANTHONY'S PROFESSIONAL BUILDINGS & SERVICES, INC
Active
Other names
BayCare Outpatient Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN OLDS (CFO)
(727) 825-1649
Entity
Organization
Contact information
Practice address
3201 66TH ST N, ST PETERSBURG, FL 33710-1510
(727) 345-2600
Mailing address
P O BOX 403795, ATLANTA, GA 30384-0001
(813) 852-3064
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607697-00
—
FL
01
—
V2368
BCBS
FL
Enumeration date
11/11/2005
Last updated
08/11/2014
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