Organization Name: | DOCTORS MORI BEAN & BROOKS P A |
NPI Number: | 1093782070 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS W WULFECK (PRESIDENT) |
Mailing Address: | 3599 University Blvd S Building 300 Jacksonville |
State: | FL US |
Postal Code: | 322164252 |
Phone Number: | 9043995550 |
Fax Number: | 9043464334 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 02/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |