Organization
MARY B TOMASELLI MD PA
Active
Other names
COMPREHENSIVE BREAST CENTER OF CORAL SPRINGS
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH TOMASELLI MD (PRESIDENT)
(954) 753-2683
Entity
Organization
Contact information
Practice address
1283 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-8314
(954) 753-2683
(954) 753-2683
Mailing address
1283 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-8314
(954) 753-2683
(954) 753-2683
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
172064
FL
2085U0001X
Diagnostic Ultrasound Physician
ME49877
FL
208600000X
Surgery Physician
ME49877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74644
BC BS GROUP NUMBER
FL
01
—
DC1290
RAIROAD MEDICARE GROUP #
FL
Enumeration date
10/10/2006
Last updated
09/11/2025
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