Organization
RADIOLOGY ASSOCIATES OF TAMPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY SMITH (CEO)
(813) 251-5822
Entity
Organization
Contact information
Practice address
6001 WEBB RD, RADIOLOGY ASSOC OF TAMPA AT TOWN & COUNTRY HOSPITAL, TAMPA, FL 33615-3241
(813) 888-7060
Mailing address
2700 UNIVERSITY SQUARE DR, 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
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262968205
—
FL
Enumeration date
09/18/2008
Last updated
08/27/2009
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