Coral Reef Radiology Associates PA
Organization Active NPI Diagnostic Radiology Physician · Village of Palmetto Bay, FL
NPI 1972600385 · NPPES record last updated Jul 29, 2008
Key facts
- NPI
- 1972600385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- CORAL REEF RADIOLOGY ASSOCIATES PA
- Practice address
- 9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778 - Phone
- (772) 621-3000
- Fax
- (772) 621-3181
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mitchell Gregg, M.D.
- Title
- Registered Agent
- Phone
- (772) 621-3059
Practitioners 11
-
Mitchell Gregg, M.D.
-
Sidney Hecht, M.D.
-
Robert L. Maiello, M.D.
-
Lyn Nadel, MD
-
Oscar Sosa, M.D.
-
Ajay Choudhri, M.D.
-
Peter Edward Kravath, M.D.
-
Serge Ouanounou, M.D.
National Provider Directory
Locations
2785 S Bay St
Eustis, FL 32726
Phone (352) 589-5171
1704 Citrus Blvd
Leesburg, FL 34748
Phone (352) 365-9553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778
Mailing address
900 E Prima Vista Blvd
Suite 200
Port St Lucie, FL 34952-2366
Phone (772) 621-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062960000 | Medicaid | FL |
Other providers in Village of Palmetto Bay, FL
- Chinese Acupuncture & Wellness Inc
- Community Health of South Florida, Inc.
- Community Health of South Florida, Inc.
- Comprehensive Pediatric Therapy, Inc.
- Coral Reef Ekg Associates Inc
- Kevin Covington
- Dan Medical Equipment & Supplies, Inc.
- Dayest Medical Services Inc
- Andres Antonio De Cardenas
- Dental Center at Baptist Medical Plaza
All providers in Village of Palmetto Bay, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.