Organization
PRICE HOFFMAN STONE & ASSOCIATES MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON GOODRUM MD (MEDICAL DIRECTOR)
(727) 898-3647
Entity
Organization
Contact information
Practice address
747 6TH AVE S, ST PETERSBURG, FL 33701-4509
(727) 898-3647
(727) 823-3080
Mailing address
DEPT AT 952404, ATLANTA, GA 31192-0001
(727) 898-3647
(727) 823-3080
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044931800
—
FL
01
—
V2869
BCBS PROVIDER #
FL
Enumeration date
10/14/2005
Last updated
05/30/2023
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