Organization
BERAJA MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ALBERT QUIGLEY (DIRECTOR)
(239) 466-2020
Entity
Organization
Contact information
Practice address
2550 S DOUGLAS RD, CORAL GABLES, FL 33134-6126
(305) 443-7070
(305) 357-1701
Mailing address
44 BARKLEY CIR, FORT MYERS, FL 33907-7530
(239) 985-7171
(392) 985-7118
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
FL
208200000X
Plastic Surgery Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33058
PTAN
FL
05
—
377570400
—
FL
Enumeration date
08/09/2006
Last updated
04/04/2024
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