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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