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Executive Diagnostic Center
Radiology Clinic/Center in Doral, Florida
NPI 1609156231

Executive Diagnostic Center is a Radiology Clinic/Center based in Doral, FL and is specialized in Radiology. Executive Diagnostic Center practices in Doral, FL. The NPI Number for Executive Diagnostic Center is 1609156231 and holds a License No. (Florida).

The current practice location address for Executive Diagnostic Center is 5211 Nw 79Th Ave, Doral, FL and can be reached out via phone at 305-994-7343 and via fax at 305-994-7346.

Location: 5211 Nw 79Th Ave, Doral, FL, 33166-4715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609156231
Provider Name
Executive Diagnostic Center
Credential
Provider Entity Type
Organization
Address
5211 Nw 79Th Ave, Doral, FL, 33166-4715
Phone Number
305-994-7343
Fax Number
305-994-7346
Provider Enumeration Date
08/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CRT 77803 01 FL CERTIFIED RADIOLOGY TECHNICIAN
HCC 9220 01 FL FLORIDA HEALTH DEPARTMENT
institution
Provider Business Practice Location Address Details
Address
5211 Nw 79Th Ave
City
Doral
State
Florida
Zip
33166-4715
Phone Number
305-994-7343
Fax Number
305-994-7346
person
Provider Business Mailing Address Details
Address
5211 Nw 79Th Ave
City
Doral
State
Florida
Zip
33166-4715
Phone Number
305-994-7343
Fax Number
305-994-7346
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
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