Organization
RADIOLOGY ASSOCIATES OF TAMPA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY T SMITH (CEO)
(813) 253-2721
Entity
Organization
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA MEMORIAL HOSPITAL, SARASOTA, FL 34239-3509
(941) 917-9000
Mailing address
2700 UNIVERSITY SQUARE DR, TAMPA, FL 33612-5513
(813) 253-2721
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
HCC6551
FL
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
HCC6551
FL
2085N0700X
Neuroradiology Physician
HCC6551
FL
2085P0229X
Pediatric Radiology Physician
HCC6551
FL
2085R0202X
Diagnostic Radiology Physician
Primary
HCC6551
FL
2085R0204X
Vascular & Interventional Radiology Physician
HCC6551
FL
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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