Sra Ventures Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SRA VENTURES INC

Doing business as

Westcoast Radiology

Practice address

10125 W. Colonial Drive
Ste# 116-118
Ocoee, FL 34761

Phone

(727) 446-6760

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

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 names 1

• WESTCOAST RADIOLOGY Doing business as

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548366941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. LINCOLN AVE.",
            "address_2": "STE#15",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 W. COLONIAL DRIVE",
            "address_2": "STE# 116-118",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "727-446-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Knoll Spence, ARNP
• Shamua Shayam Spencer Payne
• Misti Spencer
• Heidi Yolanda Sposato, M.A., LMFT
• Sra Ventures Inc (Westcoast Radiology)
• Sra Ventures, Inc. (Westcoast Radiology)
• SRSS Medical Group LLC (Pro Med Physicians)
• St Anthony's Family Medical Practice MD PA
• Kedna St Cyr, DPT
• Angela Stallard, D.M.D.

• 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 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.