Healthcare Provider Details

I. General information

NPI: 1982815346
Provider Name (Legal Business Name): HUDSON RADIOLOGY CONSULTANTS PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 FIVAY RD
HUDSON FL
34667-7103
US

IV. Provider business mailing address

PO BOX 26309
TAMPA FL
33623-6309
US

V. Phone/Fax

Practice location:
  • Phone: 727-819-2929
  • Fax: 813-985-8006
Mailing address:
  • Phone: 813-899-6226
  • Fax: 813-985-8006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLIS B. NORSOPH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 813-899-6220