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Contact Information

MEDICAL CORAL WAY CENTER CORP
1401 S MILITARY TRL
SUITE C-1
WEST PALM BEACH, FL33415-5720
 Phone: 561-429-3122
 Fax: 561-429-3124
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MEDICAL CORAL WAY CENTER CORP

NPI Number 1396780185
LBN Legal business name MEDICAL CORAL WAY CENTER CORP
Authorized official MARIELA CRUZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 10/01/2009 - About 17 years ago
Identifiers
FL Other HCC4058 HEALTH CARE CLINIC LICENS
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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