Active NPI
Florida Neuroimaging Associates PA
- Vascular & Interventional Radiology Physician
- St Petersburg, FL
National Provider Identifier
1669659009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME92656
- Legal business name
- FLORIDA NEUROIMAGING ASSOCIATES PA
- Practice address
- 701 6TH St S
St Petersburg, FL 33701-4814 - Phone
- (727) 823-1234
- NPI assigned
- Jan 29, 2008
- Last updated
- Jun 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nasser Razack, MD
- Title
- Owner
- Phone
- (864) 850-1441
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | ME92656 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME92656 | FL | Primary |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | ME92656 | FL |
Addresses
Primary practice location
701 6TH St S
St Petersburg, FL 33701-4814
Mailing address
7032 Bayou West Ave
Pinellas Park, FL 33782-4552
Phone (727) 215-4480
National Provider Directory
National Provider DirectoryLocations
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1669659009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7032 BAYOU WEST AVE",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337824552",
"telephone_number": "727-215-4480",
"fax_number": "864-850-1482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 6TH ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014814",
"telephone_number": "727-823-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA NEUROIMAGING ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "RAZACK",
"authorized_official_first_name": "NASSER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-850-1441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "FL",
"license": "ME92656",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME92656",
"primary": true
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "FL",
"license": "ME92656",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Florida Medical Pain Management LLC
- Florida Mobile Rehab LLC (Salus)
- Florida Musculoskeletal Surgical Group (Orthocare Florida)
- Florida Musculoskeletal Surgical Group DME
- Florida Musculoskeletal Surgical Group LLC (ORTHOCARE Florida)
- Florida No Fault Injury Centers, Inc.
- Florida Oral Surgery Associates
- Florida Pain Management
- Florida Pediatric Associates LLC
- Florida Physical Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.