Healthcare Provider Details
I. General information
NPI: 1053829812
Provider Name (Legal Business Name): RAPID ACCESS MEDICAL DIAGNOSTICS FLA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2018
Last Update Date: 01/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1498 NW 54TH ST STE C
MIAMI FL
33142-3861
US
IV. Provider business mailing address
397 WOODBURY RD
WOODBURY NY
11797-1201
US
V. Phone/Fax
- Phone: 888-534-4920
- Fax: 888-890-1910
- Phone: 888-534-4920
- Fax: 888-890-1910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ORESTE
J.
BRUNI
Title or Position: OWNER
Credential: MD
Phone: 888-534-4920