Medical Coral Way Center Corp

LBN: Medical Coral Way Center Corp
Medical Coral Way Center Corp is an health care organization with primary practice located at 1401 S Military Trl Suite C-1, West Palm Beach FL 33415-5720. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Medical Coral Way Center Corp can be contacted via phone (561) 429-3122, or through Cruz, Mariela via phone (561) 429-3122.

Contact Information

Primary practice address
1401 S Military Trl Suite C-1 West Palm Beach FL 33415-5720
Phone: (561) 429-3122
Fax: (561) 429-3124
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Mariela
Phone: (561) 429-3122

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1396780185
LBN Legal business name Medical Coral Way Center Corp
DBA Doing business as
Authorized official Cruz, Mariela
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Oct 1st, 2009 - about 15 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 1396780185 NPPES
Florida Other HCC4058 HEALTH CARE CLINIC LICENS

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