Organization
BEACHES OPEN MRI OF THE TREASURE COAST, LLC
Active
Organization
BEACHES OPEN MRI OF THE TREASURE COAST, LLC
Active
Other names
Beaches MRI
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T WALKER MD (OFFICER)
(772) 878-5858
Entity
Organization
Contact information
Practice address
1615 NW FEDERAL HWY, STUART, FL 34994
(772) 878-5858
(772) 692-2480
Mailing address
1615 NW FEDERAL HWY, STUART, FL 34994
(772) 878-5858
(772) 692-2480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265438500
—
FL
01
—
U2628
BCBS
FL
Enumeration date
08/22/2006
Last updated
11/04/2011
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