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Florida: GOLDCOAST ULTRASOUND INSTITUTE LOXAHATCHEE FL 33470 954-389-4210

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GOLDCOAST ULTRASOUND INSTITUTE

Technologists, Technicians & Other Technical Service Providers Specialist/Technologist, Other Electroneurodiagnostic

Provider NPI: 1235239120

Organization Information:
Organization Name:  GOLDCOAST ULTRASOUND INSTITUTE
Organization is not Subpart
Authorized Official:  MAYLI  HERNANDEZ  PRESIDENT  954-389-4210

Practice Location:
17979 86TH STREET NORTH  LOXAHATCHEE, FL 33470 US
Tel: 954-389-4210  Fax: 561-422-3377

Business Mailing Address:
17979 86TH STREET NORTH  LOXAHATCHEE, FL 33470 US
Tel: 954-389-4210  Fax: 561-422-3377

NPI Information:
NPI: 1235239120
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N246ZE0600XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist, Other
Electroneurodiagnostic
FL
N2471S1302XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
FL
N2471V0105XTechnologists, Technicians & Other Technical Service Providers
Radiologic Technologist
FL
Y246XS1301XTechnologists, Technicians & Other Technical Service Providers
Specialist/Technologist Cardiovascular
FL

Other Provider Identifiers:

IssuerNumberStateType