Organization
OAKLAND PARK MRI INC
Active
Other names
dpi of ft lauderdale
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD STEPHAN DEKKERS (CEO)
(954) 566-4551
Entity
Organization
Contact information
Practice address
1799 W OAKLAND PARK BLVD, SUITE 105, OAKLAND PARK, FL 33311-1537
(954) 566-4551
(954) 566-4565
Mailing address
PO BOX 5084, FT LAUDERDALE, FL 33310-5084
(954) 566-4551
(954) 566-4565
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3860891
AETNA
FL
01
—
V2866
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/11/2006
Last updated
05/13/2008
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