Organization Name: | GOLDCOAST ULTRASOUND INSTITUTE |
NPI Number: | 1235239120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAYLI HERNANDEZ (PRESIDENT) |
Mailing Address: | 17979 86th Street North Loxahatchee |
State: | FL US |
Postal Code: | 33470 |
Phone Number: | 9543894210 |
Fax Number: | 5614223377 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 11/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |