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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
03/30/2026
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