Organization
MORI BEAN AND BROOKS INC
Active
Organization
MORI BEAN AND BROOKS INC
Active
Other names
Coastal Vein Vascular Institute
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE VAUGHN (AO)
(629) 317-1465
Entity
Organization
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(904) 236-5884
Mailing address
PO BOX 85497, CHICAGO, IL 60689-5497
(904) 346-4334
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061242100
—
FL
01
—
CK0014
RAILROAD MEDICARE
GA
Enumeration date
03/08/2006
Last updated
06/03/2026
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