Provider Demographics
NPI:1083691463
Name:STONEHILL INVESTMENT PARTNERSHIP INC
Entity Type:Organization
Organization Name:STONEHILL INVESTMENT PARTNERSHIP INC
Other - Org Name:D/B/A BOSTON DIAGNOSTIC IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOUD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-446-6760
Mailing Address - Street 1:501 S. LINCOLN AVE
Mailing Address - Street 2:#15
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5945
Mailing Address - Country:US
Mailing Address - Phone:727-446-6760
Mailing Address - Fax:727-441-2465
Practice Address - Street 1:398 E. ALTAMONTE DRIVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-331-9355
Practice Address - Fax:407-331-9481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5181261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL470001429OtherRAILROAD MEDICARE
FL059921200Medicaid
E3510Medicare PIN