Coral Reef Radiology Associates Pa

LBN: Coral Reef Radiology Associates Pa
Coral Reef Radiology Associates Pa is an health care organization with primary practice located at 9333 Sw 152Nd St , Village Of Palmetto Bay FL 33157-1778. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Coral Reef Radiology Associates Pa can be contacted via phone (772) 621-3000, or through Gregg, Mitchell via phone (772) 621-3059.

Contact Information

Primary practice address
9333 Sw 152Nd St Village Of Palmetto Bay FL 33157-1778
Phone: (772) 621-3000
Fax: (772) 621-3181
Website:
Map and Directions
Authorized official contact:
Name: Gregg, Mitchell Doctor of Medicine (MD)
Phone: (772) 621-3059

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1972600385
LBN Legal business name Coral Reef Radiology Associates Pa
DBA Doing business as
Authorized official Gregg, Mitchell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 29th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972600385 NPPES
Florida MEDICAID 062960000

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