| Organization Name: | PALM BEACH MRI, LLC |
| NPI Number: | 1487019535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUCLOS DESSALINES (OWNER) |
| Mailing Address: | 4519 Lake Worth Rd Greenacres |
| State: | FL US |
| Postal Code: | 334633449 |
| Phone Number: | 5615303706 |
| Fax Number: | 5615303707 |
| NPI Enumeration Date: | 12/16/2015 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ME102516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |