Organization

Coral Injury Center Inc

May also be knows as Coral Medical Center

Clinic/Center in West Palm Beach, FL(View on Map)

Legal Business Name

Coral Injury Center Inc

Also Known As

Coral Medical Center

NPI Number

1144479890

NPI Type

Organization

Enumeration Date

09/17/2008

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

HCC6101

Contact
Information

Purpose

Mailing
Location

Address

1490 S. MILITARY TRAIL
1490 S. MILITARY TRAIL

City

West Palm Beach
West Palm Beach

State

FL
FL

Postal Code

33415-9141
33415-9141

Country

US
US

Telephone Number

(561) 323-2552
(561) 323-2552

Authorized Official

Name

Mr. Fidel Alvarez

Title or Position

PRESIDENT

Telephone Number

(786) 486-8063

Identifiers

Identifier

HCC6101

Identifier State

FL

Identifier Issuer

AHCA LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/03/2021

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