Organization
P,E,T. CT & MRI OF MIAMI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILA HOOVER (PRESIDENT)
(305) 458-0211
Entity
Organization
Contact information
Practice address
12905 SW 42ND ST, SUITE 106, MIAMI, FL 33175-2905
(305) 229-2020
(305) 229-2218
Mailing address
12905 SW 42ND ST, SUITE 106, MIAMI, FL 33175-2905
(305) 229-2020
(305) 229-2218
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC8124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003567600
—
FL
Enumeration date
05/25/2016
Last updated
11/16/2022
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