Organization
BROADER MRI OF BREVARD COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL SOTO (CEO)
(321) 241-3627
Entity
Organization
Contact information
Practice address
1930 DAIRY RD, MELBOURNE, FL 32904-4046
(321) 241-3627
(305) 418-7498
Mailing address
1930 DAIRY RD, MELBOURNE, FL 32904-4046
(321) 241-3627
(305) 418-7498
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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