Organization
SOUTH COAST DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MARTINEZ (PRESIDENT)
(305) 406-1355
Entity
Organization
Contact information
Practice address
2676 NW 97TH AVE, DORAL, FL 33172-1400
(305) 406-1355
Mailing address
2676 NW 97TH AVE, DORAL, FL 33172-1400
(305) 406-1355
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
03/04/2009
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