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Organization
WEST PALM BEACH RESOURCES, INC
Active
Organization
WEST PALM BEACH RESOURCES, INC
Active
Other names
Extremity MRI and Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANG MODI DO (PRESIDENT)
(201) 310-2957
Entity
Organization
Contact information
Practice address
7520 SW 57TH AVE STE A, SOUTH MIAMI, FL 33143-5330
(833) 674-3668
Mailing address
10320 GUATEMALA ST, HOLLYWOOD, FL 33026-4600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105687700
—
FL
01
—
MB418
MEDICARE
FL
01
—
QO628
MEDICARE
FL
01
—
V2233
FLORIDA BLUE
FL
Enumeration date
08/24/2005
Last updated
11/28/2025
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