Healthcare Provider Details

I. General information

NPI: 1740776723
Provider Name (Legal Business Name): COR IMAGING CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2018
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3185 W ATLANTIC BLVD
POMPANO BEACH FL
33069-2565
US

IV. Provider business mailing address

3185 W ATLANTIC BLVD
POMPANO BEACH FL
33069-2565
US

V. Phone/Fax

Practice location:
  • Phone: 954-777-8900
  • Fax: 754-220-8929
Mailing address:
  • Phone: 954-777-8900
  • Fax: 754-220-8929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberME84415
License Number StateFL

VIII. Authorized Official

Name: DR. JEAN FRANCOIS RODNEY
Title or Position: OWNER
Credential: MD
Phone: 954-237-6404