Organization
MIAMI DADE COUNTY MRI CORP
Active
Organization
MIAMI DADE COUNTY MRI CORP
Active
Parent organization
WEST PALM BEACH RESOURCES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST PALM BEACH RESOURCES, INC
Authorized official
OMAR V PEREZ (PRESIDENT)
(305) 644-8077
Entity
Organization
Contact information
Practice address
411 SW 27TH AVE, MIAMI, FL 33135-2903
(305) 644-8077
Mailing address
411 SW 27TH AVE, MIAMI, FL 33135-2903
(305) 644-8077
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC5349
AHCA
FL
Enumeration date
11/01/2006
Last updated
12/18/2014
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