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Organization
TOTAL MRI & DIAGNOSTIC CENTER
Active
Organization
TOTAL MRI & DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL G. FLOREZ, M.D. (PRESIDENT)
(786) 756-3038
Entity
Organization
Contact information
Practice address
4440 SHERIDAN ST, STE B, HOLLYWOOD, FL 33021-3535
(786) 756-3038
Mailing address
4440 SHERIDAN ST, STE B, HOLLYWOOD, FL 33021-3535
(786) 756-3038
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
AHCA LICENSE
—
Enumeration date
07/22/2020
Last updated
08/09/2021
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