MEDICAL CORAL WAY CENTER CORP NPI 1396780185

NPI Information

MEDICAL CORAL WAY CENTER CORP is a general practice in West Palm Beach, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL CORAL WAY CENTER CORP NPI is 1396780185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 S MILITARY TRL
SUITE C-1
WEST PALM BEACH, FL
ZIP 33415-720
Phone: (561) 429-3122
Fax: (561) 429-3124

The provider's authorized official is Mariela Cruz .
The authorized official title is President and has the following contact phone number (561) 429-3122.

The CLIA number assigned to this NPI record is 10D2007159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/1/2009.

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:

Other Identifiers

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