Organization
MEDICAL CORAL WAY CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIELA CRUZ (PRESIDENT)
(561) 429-3122
Entity
Organization
Contact information
Practice address
1401 S MILITARY TRL, SUITE C-1, WEST PALM BEACH, FL 33415-5720
(561) 429-3122
(561) 429-3124
Mailing address
1401 S MILITARY TRL, SUITE C, WEST PALM BEACH, FL 33415-5720
(561) 429-3122
(561) 429-3124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC4058
HEALTH CARE CLINIC LICENS
FL
Enumeration date
06/17/2006
Last updated
10/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us