Organization
FLORIDA NEUROIMAGING ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASSER RAZACK MD (OWNER)
(864) 850-1441
Entity
Organization
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-1234
Mailing address
7032 BAYOU WEST AVE, PINELLAS PARK, FL 33782-4552
(727) 215-4480
(864) 850-1482
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
ME92656
FL
2085N0700X
Neuroradiology Physician
ME92656
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME92656
FL
Other
Enumeration date
01/29/2008
Last updated
06/21/2018
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