Organization
BEACHES MRI OF PSL, LLC
Active
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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