| Coral Medical Center | |
|
1490 S. Military Trail Suite 7 West Palm Beach FL 33415-9141 | |
| (561) 323-2552 | |
| (561) 557-9557 |
| Full Name | Coral Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1490 S. Military Trail, West Palm Beach, Florida |
| Authorized Official Name and Position | Fidel L. Alvarez (PRESIDENT) |
| Authorized Official Contact | 7864868063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Medical Center 1490 S. Military Trail Suite 7 West Palm Beach FL 33415-9141 Ph: (561) 323-2552 | Coral Medical Center 1490 S. Military Trail Suite 7 West Palm Beach FL 33415-9141 Ph: (561) 323-2552 |
| NPI Number | 1144479890 |
|---|---|
| Provider Enumeration Date | 09/17/2008 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144479890 | NPI | - | NPPES |
| HCC6101 | Other | FL | AHCA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6101 (Florida) | Primary |
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