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Organization

RADIOLOGY ASSOCIATES OF CLEARWATER

Active
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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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