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Organization

RADIOLOGY ASSOCIATES OF TAMPA PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY SMITH (C.E.O.)
(813) 251-5822
Entity
Organization

Contact information

Practice address
4555 S MANHATTAN AVE, RADIOLOGY ASSOC OF TAMPA AT KINDRED HOSPITAL TAMPA, TAMPA, FL 33611-2305
(813) 839-6341
Mailing address
2700 UNIVERSITY SQUARE DR, RAT AT KINDRED HOSPITAL TAMPA, TAMPA, FL 33612-5513
(813) 251-5822

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262968203
FL
Enumeration date
06/05/2007
Last updated
08/27/2009
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