NPIMap

Organization Active NPI

Sra Ventures Inc

  • Radiology Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1508873647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SRA VENTURES INC
Practice address
36463 US Highway 19 N
Palm Harbor, FL 34684-1329
Phone
(727) 771-2795
Fax
(727) 786-7265
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FL Primary

Addresses

Primary practice location

36463 US Highway 19 N
Palm Harbor, FL 34684-1329

Mailing address

501 S Lincoln Ave
#15
Clearwater, FL 33756-5945
Phone (727) 446-6760

Other identifiers 1

IdentifierTypeStateIssuer
V2594OtherFLBC/BS PALM HBR, FL

Other names 1

  • WESTCOAST RADIOLOGY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508873647",
    "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": "36463 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841329",
            "telephone_number": "727-771-2795",
            "fax_number": "727-786-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "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 PALM HBR, FL",
            "identifier": "V2594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.