# BERAJA MEDICAL INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356351605
- **Authorized official:** THOMAS ALBERT QUIGLEY (DIRECTOR)
- **Authorized official phone:** (239) 466-2020

## Contact information

- **Practice address:** 2550 S DOUGLAS RD, CORAL GABLES, FL 33134-6126
- **Practice address phone:** (305) 443-7070
- **Practice address fax:** (305) 357-1701
- **Mailing address:** 44 BARKLEY CIR, FORT MYERS, FL 33907-7530
- **Mailing address phone:** (239) 985-7171
- **Mailing address fax:** (392) 985-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |
| 208200000X | Plastic Surgery Physician | — | FL | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 04/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 33058 | PTAN | FL |
| 05 | — | 377570400 | — | FL |