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Blaise P Mooney, MD
Diagnostic Radiology Physician in Tampa, Florida
NPI 1346439247

Blaise P Mooney is a Diagnostic Radiology Physician based in Tampa, FL and is specialized in Diagnostic Radiology. Blaise P Mooney practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Blaise P Mooney is 1346439247 and holds a License No. ME99790 (Florida).

The current practice location address for Blaise P Mooney is 12902 Usf Magnolia Dr, Tampa, FL and can be reached out via phone at 813-745-2710 and via fax at 813-745-6855.

Location: 12902 Usf Magnolia Dr, Tampa, FL, 33612-9416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346439247
Provider Name
Blaise P Mooney
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12902 Usf Magnolia Dr, Tampa, FL, 33612-9416
Phone Number
813-745-2710
Fax Number
813-745-6855
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457A 01 FL BLUE CROSS BLUE SHIELD OF FLORIDA
001144800 05 FL
institution
Provider Business Practice Location Address Details
Address
12902 Usf Magnolia Dr
City
Tampa
State
Florida
Zip
33612-9416
Phone Number
813-745-2710
Fax Number
813-745-6855
person
Provider Business Mailing Address Details
Address
12902 Usf Magnolia Dr
City
Tampa
State
Florida
Zip
33612-9416
Phone Number
813-745-2710
Fax Number
813-745-6855
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
ME99790 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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