Crystal Bay Radiology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME80757 Issued in FL

Legal business name

CRYSTAL BAY RADIOLOGY PA

Practice address

2568 Sweetgum Way W
Clearwater, FL 33761-3922

Phone

(727) 735-5356

Fax

(727) 724-6477

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

Beata B Nowakowska, M.D.

Title

Owner

Phone

(727) 735-5356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1841422441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 SWEETGUM WAY W",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613922",
            "telephone_number": "727-735-5356",
            "fax_number": "727-724-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 SWEETGUM WAY W",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613922",
            "telephone_number": "727-735-5356",
            "fax_number": "727-724-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL BAY RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "NOWAKOWSKA",
        "authorized_official_first_name": "BEATA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-735-5356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME80757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Cruff
• Scot Robert Cruickshank, PTA
• Lakshmi Cruz Galan
• Taimy Cruz Hondares
• Sara Enid Cruz-Luna, MD
• Csi Catalano'S Nurses Registry, Inc.
• Csi-Pediatric Services, LLC
• Gustavo J Cuadra, M.D.
• Hans Cris Angelo Maravilla Cudal
• Steffani Cummins, MA, NCC

• Specialist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.