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Organization
CORAL INJURY CENTER INC
Active
Organization
CORAL INJURY CENTER INC
Active
Other names
CORAL BEHAVIORAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ RODRIGUEZ (OFFICE MANAGER)
(561) 323-2552
Entity
Organization
Contact information
Practice address
1490 S MILITARY TRL STE 7, WEST PALM BEACH, FL 33415-9141
(561) 323-2552
Mailing address
1490 S MILITARY TRL STE 8, WEST PALM BEACH, FL 33415-9141
(561) 679-0512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108796800
—
FL
Enumeration date
08/05/2021
Last updated
03/30/2022
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