NPIMap

Organization Active NPI

Sra Ventures, Inc.

  • Radiology Clinic/Center
  • Ocoee, FL
National Provider Identifier
1942534672
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SRA VENTURES, INC.
Practice address
572 Ocoee Commerce Parkway
Ocoee, FL 34761
Phone
(407) 228-6635
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Dr. Anthony Aboud, D.O.
Title
C.E.O.
Phone
(407) 228-6635

Specialties & licenses 1

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

Addresses

Primary practice location

572 Ocoee Commerce Parkway
Ocoee, FL 34761

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
E4187OtherFLMEDICARE PTAN

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": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1942534672",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 OCOEE COMMERCE PARKWAY",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-228-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "ABOUD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "407-228-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "E4187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.