Organization
BEACHES MRI OF PSL, LLC
Active
Other names
Beaches MRI of PSL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW T WALKER M.D. (OFFICER)
(772) 323-7321
Entity
Organization
Contact information
Practice address
10377 S US HIGHWAY 1, STE 100, PORT ST LUCIE, FL 34952-5630
(772) 337-9191
(772) 337-7772
Mailing address
1615 NW FEDERAL HWY, STUART, FL 34994-9629
(772) 337-9191
(772) 337-7772
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
EXEMPT
FL
2085R0202X
Diagnostic Radiology Physician
Primary
EXEMPT
FL
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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