Organization
CORAL INJURY CENTER INC
Active
Other names
Coral Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIDEL L. ALVAREZ (PRESIDENT)
(786) 486-8063
Entity
Organization
Contact information
Practice address
1490 S. MILITARY TRAIL, SUITE 7, WEST PALM BEACH, FL 33415-9141
(561) 323-2552
(561) 557-9557
Mailing address
1490 S. MILITARY TRAIL, SUITE 7, WEST PALM BEACH, FL 33415-9141
(561) 323-2552
(561) 557-9557
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC6101
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC6101
AHCA LICENSE
FL
Enumeration date
09/17/2008
Last updated
09/03/2021
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