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Contact Information

BROADER MRI OF BREVARD COUNTY
1930 DAIRY RD
MELBOURNE, FL32904-4046
 Phone: 321-241-3627
 Fax: 305-418-7498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for BROADER MRI OF BREVARD COUNTY

NPI # 1508573239
LBN Legal business name BROADER MRI OF BREVARD COUNTY
Authorized official ANGEL SOTO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2022
Last updated 11/02/2022 - About 4 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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