Healthcare Provider Details
I. General information
NPI: 1477630903
Provider Name (Legal Business Name): SUNCOAST ADVANCED RADIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
809 E MARION AVE
PUNTA GORDA FL
33950-3819
US
IV. Provider business mailing address
329 E OLYMPIA AVE
PUNTA GORDA FL
33950-3833
US
V. Phone/Fax
- Phone: 941-637-2405
- Fax: 941-637-3873
- Phone: 941-637-9729
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALBERTO
M
RIGHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 941-637-9729