Organization

Beaches Open Mri Of Pbg Llc

May also be knows as Beaches Mri

Diagnostic Radiology Physician in Palm Beach Gardens, FL(View on Map)

Legal Business Name

Beaches Open Mri Of Pbg Llc

Also Known As

Beaches Mri

NPI Number

1881783553

NPI Type

Organization

Enumeration Date

10/12/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Florida
Florida

License Number

ME0070441
ME0058016
ME0061896

Contact
Information

Purpose

Mailing
Location

Address

2701 PGA BLVD
2701 PGA BLVD

City

Palm Beach Gardens
Palm Beach Gardens

State

FL
FL

Postal Code

33410
33410

Country

US
US

Telephone Number

(561) 627-1111
(561) 627-1111

Authorized Official

Name

Andrew Walker

Title or Position

OFFICER

Telephone Number

(772) 878-5858

Identifiers

Identifier

V2937

Identifier State

FL

Identifier Issuer

BCBS

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

Data last updated by provider on 08/22/2020

Provider Address

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