Organization
SOUTH MIAMI OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLAND J GRASS (MANAGER)
(305) 665-4674
Entity
Organization
Contact information
Practice address
88 NE 168TH ST, NORTH MIAMI BEACH, FL 33162-3410
(305) 665-4674
(305) 669-4674
Mailing address
6161 SUNSET DR STE A, SOUTH MIAMI, FL 33143-5045
(305) 665-4674
(305) 669-4674
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC13209
AHCA
FL
Enumeration date
06/21/2019
Last updated
04/02/2025
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