Organization · Type 2 NPI

Beaches Mri of Psl, LLC

Diagnostic Radiology Physician · Port St. Lucie, FL

NPI number 1639507585 Active

Practice location

10377 S US Highway 1, Ste 100
Port St. Lucie, FL 34952-5630

Fax (772) 337-7772

Mailing address

1615 NW Federal Hwy
Stuart, FL 34994-9629

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700XEXEMPT (FL)
Diagnostic Radiology Physician Primary 2085R0202XEXEMPT (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1639507585

Beaches Mri of Psl, LLC's National Provider Identifier is 1639507585, issued on Oct 30, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 30, 2013.