Organization
WEST PALM BEACH RESOURCES, INC
Active
Other names
Extremity MRI and Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETANG MODI DO (PRESIDENT)
(201) 310-2957
Entity
Organization
Contact information
Practice address
7520 SW 57TH AVE STE A, SOUTH MIAMI, FL 33143-5330
(833) 674-3668
Mailing address
10320 GUATEMALA ST, HOLLYWOOD, FL 33026-4600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105687700
—
FL
01
—
MB418
MEDICARE
FL
01
—
QO628
MEDICARE
FL
01
—
V2233
FLORIDA BLUE
FL
Enumeration date
08/24/2005
Last updated
11/28/2025
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