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General NPI Number Information
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NPI Number | 1477971539
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC CENTER OF PALM BEACH INC
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 2640 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5931
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Country | US
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Telephone | 561-281-8480
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Fax | 561-429-2181
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Provider Business Mailing Address
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Address Line | 2640 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-5931
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Country | US
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Telephone | 561-281-8480
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Fax | 561-429-2181
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Authorized Official
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Title or Position | OWNER
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Name | MAIKEL RODRIGUEZ
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Credential |
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Telephone | 561-281-8480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State |
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