Organization
CRYSTAL BAY RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATA B NOWAKOWSKA M.D. (OWNER)
(727) 735-5356
Entity
Organization
Contact information
Practice address
2568 SWEETGUM WAY W, CLEARWATER, FL 33761-3922
(727) 735-5356
(727) 724-6477
Mailing address
2568 SWEETGUM WAY W, CLEARWATER, FL 33761-3922
(727) 735-5356
(727) 724-6477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80757
FL
Other
Enumeration date
08/14/2009
Last updated
10/12/2009
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