Organization
CORAL INJURY CENTER INC
Active
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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