Organization
GOLDCOAST ULTRASOUND INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLI HERNANDEZ (PRESIDENT)
(954) 389-4210
Entity
Organization
Contact information
Practice address
17979 86TH STREET NORTH, LOXAHATCHEE, FL 33470
(954) 389-4210
(561) 422-3377
Mailing address
17979 86TH STREET NORTH, LOXAHATCHEE, FL 33470
(954) 389-4210
(561) 422-3377
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
FL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
FL
2471S1302X
Sonography Radiologic Technologist
—
FL
2471V0105X
Vascular Sonography Radiologic Technologist
—
FL
Other
Enumeration date
09/22/2006
Last updated
11/27/2007
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