SRA VENTURES INC (NPI# 1205829934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205829934 |
| Entity Type | Organization |
| Organization Name | SRA VENTURES INC |
| Other Organization Name | WESTCOAST RADIOLOGY |
| Practice Address |
501 S Lincoln Ave #15 Clearwater FL 33756-5945 |
| Mailing Address |
501 S Lincoln Ave #15 Clearwater FL 33756-5901 |
| Practice Telephone | 7274466760 |
| Practice Fax Number | 7274412465 |
| Mailing Telephone | 7274466760 |
| Mailing Fax Number | 7274412465 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2012-04-05 |
| Authorized Official Name | DR. ANTHONY ABOUD (CEO) |
| Authorized Official Telephone | 7274466760 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | SRA VENTURES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC2621 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WESTCOAST RADIOLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548366941 | Sra Ventures Inc | Clinic/Center | 10125 W. Colonial Drive, Ste# 116-118, Ocoee, FL 34761 | 2006-09-15 |
| 1477560514 | Sra Ventures Inc | Clinic/Center | 1193 Blackwood Ave, Unit H, Ocoee, FL 34761-4518 | 2006-08-02 |
| 1508873647 | Sra Ventures Inc | Clinic/Center | 36463 Us Highway 19 N, Palm Harbor, FL 34684-1329 | 2006-08-02 |
| 1760799258 | Sra Ventures Inc | Clinic/Center | 3451 66th St N, St Petersburg, FL 33710-1568 | 2010-09-07 |
| 1295069672 | Sra Ventures Inc | Clinic/Center | 2040 Short Ave, #103, Odessa, FL 33556-3445 | 2009-10-01 |
| Street Address |
501 S LINCOLN AVE #15 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720429426 | Louis Fitzgerald Ladson | Pharmacist | 501 S Lincoln Ave, #10, Clearwater, FL 33756-5945 | 2013-07-10 |
| 1508209131 | Katherine Nielsen | Pharmacist | 501 S Lincoln Ave, Suite 10, Clearwater, FL 33756-5945 | 2013-04-13 |
| 1871835280 | Mary Catherine Burkett | Pharmacist | 501 S Lincoln Ave, Suite 10, Clearwater, FL 33756-5945 | 2013-03-23 |
| 1699070425 | Lincourt Compounding Center | Pharmacy | 501 S Lincoln Ave, Suite 23, Clearwater, FL 33756-5945 | 2011-01-26 |
| 1750611331 | Resolve Pharmacy LLC | Pharmacy | 501 S Lincoln Ave, Ste 10, Clearwater, FL 33756 | 2010-01-05 |
| 1891994836 | Margolin Md Pa | Otolaryngology | 501 S Lincoln Ave, Suite 26, Clearwater, FL 33756-5945 | 2007-07-11 |
| 1134234164 | Lincourt Pharmacy Corp | Durable Medical Equipment & Medical Supplies | 501 S Lincoln Ave, Ste 10, Clearwater, FL 33756-5945 | 2006-08-20 |
| 1720005721 | Bayside Urology Pa | Urology | 501 S Lincoln Ave, #11, Clearwater, FL 33756 | 2006-07-16 |
| 1558358382 | Jerry Alan Margolin | Otolaryngology | 501 S Lincoln Ave, Suite 26, Clearwater, FL 33756-5945 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538329362 | Aei Diagnostic Imaging LLC | Clinic/Center | 1831 N Belcher Road, D Building, Clearwater, FLORIDA 33765 | 2008-06-16 |
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|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on SRA VENTURES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.