SHORES DIAGNOSTIC CENTER INC NPI 1376675538

NPI Information

NPI: 1376675538
Provider Name: SHORES DIAGNOSTIC CENTER INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
8855 NE 2ND AVE
EL PORTAL, FL
ZIP 33138
Phone: (305) 759-0074
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SHORES DIAGNOSTIC CENTER INC is a diagnostic radiology radiology in El Portal, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SHORES DIAGNOSTIC CENTER INC NPI is 1376675538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8855 NE 2ND AVE
EL PORTAL, FL
ZIP 33138
Phone: (305) 759-0074
Fax: (305) 754-4766

The provider's authorized official is Mirnelle Josma .
The authorized official title is President and has the following contact phone number (305) 759-0074.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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: 5/5/2024

NPI Synchronization or Removal

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