1265894034 NPI number — STAR RADIOLOGY OF FLORIDA, LLC

Table of content: (NPI 1265894034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265894034 NPI number — STAR RADIOLOGY OF FLORIDA, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STAR RADIOLOGY OF FLORIDA, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265894034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/22/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 320392
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33679-2392
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-369-7827
Provider Business Mailing Address Fax Number:
813-814-1615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3870 TAMPA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLDSMAR
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34677-3133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-369-7827
Provider Business Practice Location Address Fax Number:
813-814-1615
Provider Enumeration Date:
03/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
TOWNSEND
Authorized Official First Name:
DWIGHT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
361-548-1249

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  ME99052 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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