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General NPI Number Information
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NPI Number | 1881868131
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Entity Type | Organization
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Legal Business Name | PRO-ECHO INC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 300 W 41ST ST SUITE 201
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3637
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Country | US
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Telephone | 305-532-7460
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Fax | 305-532-7648
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Provider Business Mailing Address
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Address Line | PO BOX 266555
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City | WESTON
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State | FL
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Zip | 33326-6555
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Country | US
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Telephone | 305-532-7460
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Fax | 305-532-7648
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | CECILIA SAFIRSTEIN
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Credential |
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Telephone | 305-532-7460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number | HCC4839
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License Number State | FL
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