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institution
Sra Ventures Inc
Radiology Clinic/Center in Odessa, Florida
NPI 1295069672

Sra Ventures Inc is a Radiology Clinic/Center based in Clearwater, FL and is specialized in Radiology. Sra Ventures Inc practices in Odessa, FL. The NPI Number for Sra Ventures Inc is 1295069672 and holds a License No. (Florida).

The current practice location address for Sra Ventures Inc is 2040 Short Ave, Odessa, FL and can be reached out via phone at 727-835-1450 and via fax at 727-835-1470.

Location: 2040 Short Ave, Odessa, FL, 33756-5945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295069672
Provider Name
Sra Ventures Inc
Credential
Provider Entity Type
Organization
Address
2040 Short Ave, Odessa, FL, 33756-5945
Phone Number
727-835-1450
Fax Number
727-835-1470
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4187 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2040 Short Ave
City
Odessa
State
Florida
Zip
33556-3445
Phone Number
727-835-1450
Fax Number
727-835-1470
person
Provider Business Mailing Address Details
Address
2040 Short Ave
City
Odessa
State
Florida
Zip
33556-3445
Phone Number
727-835-1450
Fax Number
727-835-1470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
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Definition
Definition to come...
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