Sra Ventures Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SRA VENTURES INC

Practice address

1193 Blackwood Ave
Unit H
Ocoee, FL 34761-4518

Phone

(407) 656-6040

Fax

(407) 656-4431

NPI assigned

Aug 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony Aboud, DO

Title

Ceo

Phone

(727) 446-6760

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTCOAST RADIOLOGY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J Bush, M.D.

  • Diagnostic Radiology Physician
  • Eustis, FL
  • NPI 1255365854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1477560514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#15",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565945",
            "telephone_number": "727-446-6760",
            "fax_number": "727-441-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1193 BLACKWOOD AVE",
            "address_2": "UNIT H",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-656-6040",
            "fax_number": "407-656-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "ABOUD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-446-6760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OCOEE, FL",
            "identifier": "V3014",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Knoll Spence, ARNP
• Shamua Shayam Spencer Payne
• Misti Spencer
• Kallie Jade Spooner
• Heidi Yolanda Sposato, M.A., LMFT
• Sra Ventures Inc
• Sra Ventures, Inc.
• SRSS Medical Group LLC
• St Anthony'S Family Medical Practice MD PA
• Kedna St Cyr, DPT

• Radiology Clinic/Center in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.