Organization
DPI OF NORTH BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD STEPHAN DEKKERS (CEO)
(954) 566-4551
Entity
Organization
Contact information
Practice address
6808 N STATE ROAD 7, COCONUT CREEK, FL 33073-4304
(954) 566-4551
(954) 566-4565
Mailing address
PO BOX 5047, FT LAUDERDALE, FL 33310-5047
(954) 566-4551
(954) 566-4565
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
07/11/2006
Last updated
11/07/2007
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