# COCONUT GROVE IMAGING LLC

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

## Provider details

- **NPI number:** 1871645176
- **Authorized official:** DR. ADAM S GROPPER MD (PRESIDENT PHYSICIAN)
- **Authorized official phone:** (772) 538-4047

## Contact information

- **Practice address:** 1100 NW 95TH ST, MIAMI, FL 33150-2038
- **Practice address phone:** (772) 581-6226
- **Practice address fax:** (772) 581-5771
- **Mailing address:** PO BOX 530675, MIAMI, FL 33153-0675
- **Mailing address phone:** (772) 581-6226
- **Mailing address fax:** (772) 581-5771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020