Organization
CORAL INJURY CENTER INC
Active
Other names
CORAL BEHAVIORAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ RODRIGUEZ (OFFICE MANAGER)
(561) 323-2552
Entity
Organization
Contact information
Practice address
1490 S MILITARY TRL STE 7, WEST PALM BEACH, FL 33415-9141
(561) 323-2552
Mailing address
1490 S MILITARY TRL STE 8, WEST PALM BEACH, FL 33415-9141
(561) 679-0512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108796800
—
FL
Enumeration date
08/05/2021
Last updated
03/30/2022
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