Organization
MP DIAGNOSTIC LTD
Active
Other names
MRI AT SUNSET
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACIELA C POZO MEDICAL DOCTOR (PRESIDENT OF CORP GEN PART)
(305) 271-8394
Entity
Organization
Contact information
Practice address
6401 SW 87 AVENUE, SUITE 121, MIAMI, FL 33173-2520
(305) 273-9290
(786) 923-2199
Mailing address
PO BOX 160608, MIAMI, FL 33116-0608
(786) 242-8900
(786) 923-2199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
HCC9844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004623400
—
FL
Enumeration date
01/25/2012
Last updated
12/18/2012
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