Organization
RADIOLOGY ASSOCIATES OF CLEARWATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S FISHER M. D. (PRESIDENT)
(727) 441-3711
Entity
Organization
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 441-3711
Mailing address
PO BOX 223834, PITTSBURGH, PA 15251-2834
(727) 793-9300
(727) 793-0052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007619
AETNA GROUP NUMBER
FL
01
—
00212
BCBS GROUP NUMBER
FL
05
—
061291000
—
FL
05
—
061291001
—
FL
05
—
061291002
—
FL
05
—
061291003
—
FL
05
—
061291004
—
FL
05
—
061291006
—
FL
01
—
CC5325
RR MEDICARE
FL
Enumeration date
10/24/2005
Last updated
07/21/2022
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