Organization
CAVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY J KNAPP JR. (PRESIDENT)
(646) 623-1020
Entity
Organization
Contact information
Practice address
3031 JASMINE CT, DELRAY BEACH, FL 33483-4701
(646) 623-1020
Mailing address
3031 JASMINE CT, DELRAY BEACH, FL 33483-4701
(646) 623-1020
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
20855R0202X
CA
261QR0200X
Radiology Clinic/Center
2085N0700X
CA
261QR0200X
Radiology Clinic/Center
A104534
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179157001
—
FL
05
—
200251220A
—
FL
Enumeration date
04/03/2017
Last updated
04/03/2017
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