OrganizationActive
Advance Technological Radiology, PA
NPI 1154450351 · Diagnostic Radiology Physician · Davenport, FL
Provider details
- NPI number
- 1154450351
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Rosa, Owner(863) 421-9393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2235 North Boulevard West
Davenport, FL 33837-8990
Phone: (863) 421-9393
Fax: (866) 560-1517
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 2159
Haines City, FL 33845-2159
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.