Provider Demographics
NPI:1285939173
Name:USTELERADIOLOGY TAMPA TELECENTER
Entity type:Organization
Organization Name:USTELERADIOLOGY TAMPA TELECENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FERRARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-904-2590
Mailing Address - Street 1:5680 W CYPRESS ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-7002
Mailing Address - Country:US
Mailing Address - Phone:813-286-2800
Mailing Address - Fax:813-286-2806
Practice Address - Street 1:5680 W CYPRESS ST
Practice Address - Street 2:SUITE F
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-7002
Practice Address - Country:US
Practice Address - Phone:813-286-2800
Practice Address - Fax:813-286-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology