Organization
SHORES DIAGNOSTIC CENTER INC
Active
Organization
SHORES DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRNELLE JOSMA AS RTM (PRESIDENT)
(305) 759-0074
Entity
Organization
Contact information
Practice address
8855 NE 2ND AVE, EL PORTAL, FL 33138
(305) 759-0074
(305) 754-4766
Mailing address
PO BOX 530506, MIAMI SHORES, FL 33153-0506
(305) 759-0074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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