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MORI BEAN AND BROOKS INC. NPI 1093782070


NPI Information

NPI: 1093782070
Provider Name: MORI, BEAN AND BROOKS, INC.

Doing Business As: COASTAL VEIN VASCULAR INSTITUTE

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 399-5550
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MORI, BEAN AND BROOKS, INC. is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MORI, BEAN AND BROOKS, INC. NPI is 1093782070. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Vein Vascular Institute.

The provider's business location address is:

8375 DIX ELLIS TRL STE 201
JACKSONVILLE, FL
ZIP 32256-241
Phone: (904) 399-5550
Fax: (904) 346-4334

The provider's authorized official is Keith M Harrington .
The authorized official title is Vice President and has the following contact phone number (424) 218-9368.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 5/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
22085N0700XRadiologyNeuroradiologyNo
32085N0904XRadiologyNuclear RadiologyNo
42085R0204XRadiologyVascular & Interventional RadiologyNo
52085U0001XRadiologyDiagnostic UltrasoundNo
6363A00000XPhysician AssistantNo
7363AM0700XPhysician AssistantMedicalNo
8363AS0400XPhysician AssistantSurgicalNo
92085R0202XRadiologyDiagnostic RadiologyFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1061242100MEDICAIDFLORIDA
2CK0014OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.