Organization Active NPI

Florida Neuroimaging Associates PA

  • Vascular & Interventional Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1669659009
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME92656 Issued in FL
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.