Organization
BROADER MRI OF PALM BEACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL IRIBAR MD (OWNER)
(561) 766-0304
Entity
Organization
Contact information
Practice address
5405 OKEECHOBEE BLVD #100, WEST PALM BEACH, FL 33417
(561) 766-0304
(305) 768-9164
Mailing address
5405 OKEECHOBEE BLVD #100, WEST PALM BEACH, FL 33417
(561) 766-0304
(305) 768-9164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
07/27/2023
Last updated
09/13/2023
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