Organization
BEACHES OPEN MRI OF PBG LLC
Active
Organization
BEACHES OPEN MRI OF PBG LLC
Active
Other names
Beaches MRI
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW T WALKER MD (OFFICER)
(772) 878-5858
Entity
Organization
Contact information
Practice address
2701 PGA BLVD, SUITE A, PALM BEACH GARDENS, FL 33410
(561) 627-1111
(561) 627-6677
Mailing address
2701 PGA BLVD, SUITE A, PALM BEACH GARDENS, FL 33410
(561) 627-1111
(561) 627-6677
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME0058016
FL
2085R0202X
Diagnostic Radiology Physician
ME0061896
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME0070441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2937
BCBS
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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