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Organization
BROADER MRI OF PALM BEACH LLC
Active
Organization
BROADER MRI OF PALM BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL IRIBAR MD (OWNER)
(561) 766-0304
Entity
Organization
Contact information
Practice address
5405 OKEECHOBEE BLVD #100, WEST PALM BEACH, FL 33417
(561) 766-0304
(305) 768-9164
Mailing address
5405 OKEECHOBEE BLVD #100, WEST PALM BEACH, FL 33417
(561) 766-0304
(305) 768-9164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
07/27/2023
Last updated
09/13/2023
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