BROADER MRI OF FT PIERCE, LLC; NPI #1376240101

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

NPI #	`1376240101`
LBN Legal business name	BROADER MRI OF FT PIERCE, LLC
Authorized official	ANGEL SOTO - (OWNER, PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/13/2023
Last updated	02/13/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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