Healthcare Provider Details

I. General information

NPI: 1679711246
Provider Name (Legal Business Name): HIGH FIELD MRI OF MIAMI-DADE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9290 S.W. 72ND STREET SUITE 100 HIGH FIELD MRI OF MIAMI-DADE, LLC
MIAMI FL
33173
US

IV. Provider business mailing address

9290 S.W. 72ND STREET SUITE 100
MIAMI FL
33173
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-4363
  • Fax: 954-279-4365
Mailing address:
  • Phone: 305-279-4363
  • Fax: 954-279-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC5555
License Number StateFL

VIII. Authorized Official

Name: GRAZIE MARIA CHRISTIE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 305-528-9978