Organization
MEDICAL SPECIALIST ASSOCIATES OF FLORIDA LLC
Active
Other names
BayCare Outpatient Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
CARL TREMONTI (CFO)
(727) 843-4599
Entity
Organization
Contact information
Practice address
1064 KEENE RD, DUNEDIN, FL 34698-6300
(727) 733-9202
Mailing address
PO BOX 277781, ATLANTA, GA 30384-7781
(813) 852-3272
(813) 852-3233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277190000
—
FL
01
—
AB585
MEDICARE
FL
Enumeration date
07/12/2006
Last updated
07/15/2010
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