Organization

Mori, Bean And Brooks, Inc.

May also be knows as Coastal Vein Vascular Institute

Diagnostic Radiology Physician in Jacksonville, FL(View on Map)

Legal Business Name

Mori, Bean And Brooks, Inc.

Also Known As

Coastal Vein Vascular Institute

NPI Number

1093782070

NPI Type

Organization

Enumeration Date

03/08/2006

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 116700
8375 DIX ELLIS TRL STE 201

City

Atlanta
Jacksonville

State

GA
FL

Postal Code

30368-6700
32256-8241

Country

US
US

Telephone Number

(904) 399-5550
(904) 399-5550

Authorized Official

Name

Sharlee Lebleu

Title or Position

VICE PRESIDENT

Telephone Number

(480) 321-7026

Identifiers

Identifier

061242100
CK0014

Identifier State

FL
GA

Identifier Issuer

Unknown
RAILROAD MEDICARE

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

Data last updated by provider on 07/12/2024

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