Organization
MIAMI BREAST CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER K KHOURI MD (OWNER)
(305) 365-5595
Entity
Organization
Contact information
Practice address
580 CRANDON BLVD, 1ST FLOOR, KEY BISCAYNE, FL 33149-1832
(305) 365-5595
Mailing address
580 CRANDON BLVD, 1ST FLOOR, KEY BISCAYNE, FL 33149-1832
(305) 365-5595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
07/26/2022
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