Organization
SOUTH TAMPA IMAGING ASSOCIATES PA
Active
Other names
Bernard D. Stein, MD.,PA
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W KNIGHT MD (PRESIDENT)
(813) 342-1440
Entity
Organization
Contact information
Practice address
2901 SWANN AVE, TAMPA, FL 33609-4056
(813) 342-1440
(813) 872-5695
Mailing address
PO BOX 3156, INDIANAPOLIS, IN 46206-3156
(855) 870-6780
(855) 277-8545
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370400900
—
FL
01
—
98277
BC BS OF FLORIDA
—
01
—
CN1631
RR MEDICARE
FL
Enumeration date
10/19/2006
Last updated
09/25/2015
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