National Provider Identifier Database

SHORES DIAGNOSTIC CENTER INC
Diagnostic Radiology

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


Contact Information

SHORES DIAGNOSTIC CENTER INC
8855 NE 2ND AVE
EL PORTAL, FL33138
Phone: 305-759-0074
Fax: 305-754-4766
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for SHORES DIAGNOSTIC CENTER INC

NPI Number 1376675538
Legal business name
LBN
SHORES DIAGNOSTIC CENTER INC
Authorized official MIRNELLE JOSMA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 08/22/2020 - About 6 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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