National Provider Identifier Database

BROADER MRI OF FT PIERCE LLC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

BROADER MRI OF FT PIERCE, LLC
2725 PETERS RD #37
FT.PIERCE, FL34948
Phone: 954-966-3600
Fax: 954-967-1962
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Clinic/Center 261Q00000X
Magnetic Resonance Imaging (MRI) 261QM1200X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for BROADER MRI OF FT PIERCE, LLC

NPI Number 1376240101
Legal business name
LBN
BROADER MRI OF FT PIERCE, LLC
Authorized official ANGEL SOTO - (OWNER, PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/13/2023
Last updated 02/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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