Organization
COASTAL VEIN & VASCULAR INSTITUTE, LLC
Active
Parent organization
DRS. MORI, BEAN & BROOKS, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
DRS. MORI, BEAN & BROOKS, PA
Authorized official
KURT W MORI MD (PRESIDENT)
(904) 399-5550
Entity
Organization
Contact information
Practice address
7741 POINT MEADOWS DR, UNIT 104-106, JACKSONVILLE, FL 32256-9182
(904) 399-5550
(904) 346-4334
Mailing address
3599 UNIVERSITY BLVD S, BLDG 300, JACKSONVILLE, FL 32216-4252
(904) 399-5550
(904) 346-4334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
02/16/2016
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