BROADER MRI OF FT PIERCE LLC, Diagnostic Radiology FT.PIERCE, FL

Contact Information

BROADER MRI OF FT PIERCE, LLC

2725 PETERS RD #37
FT.PIERCE, FL 34948

Phone: 954-966-3600
Fax: 954-967-1962
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Clinic/Center	261Q00000X
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for BROADER MRI OF FT PIERCE LLC · (Female)

NPI Number	`1376240101`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/13/2023
Last updated	02/13/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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