Organization Name: | CMB ULTRASOUND INC |
NPI Number: | 1619076189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN M. BORGES (PRESIDENT) |
Mailing Address: | 103400 Overseas Hwy Suite 240 Key Largo |
State: | FL US |
Postal Code: | 330372834 |
Phone Number: | 3054514110 |
Fax Number: | 3054532920 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | HCC5883 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |