Coastal Vein Vascular Institute
LBN: Mori, Bean And Brooks, Inc.
Coastal Vein Vascular Institute is an health care organization with primary practice located at 8375 Dix Ellis Trl Ste 201 , Jacksonville FL 32256-8241. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Mori, Bean And Brooks, Inc. can be contacted via phone (904) 399-5550, or through Lebleu, Sharlee via phone (480) 321-7026.
Contact Information
Primary practice address
8375 Dix Ellis Trl Ste 201
Jacksonville FL 32256-8241
Phone: (904) 399-5550
Fax: (904) 346-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ||
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Florida | |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1093782070 |
|---|---|
| LBN Legal business name | Mori, Bean And Brooks, Inc. |
| DBA Doing business as | Coastal Vein Vascular Institute |
| Authorized official | Lebleu, Sharlee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093782070 | NPPES |
| Florida | MEDICAID | 061242100 | |
| Florida | Other | CK0014 |
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