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Beraja Medical Institute INC

Ophthalmology in Coral Gables, FL. Organization (NPI-2).

NPI number1356351605
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1356351605
Entity type
Organization (NPI-2)
Legal business name
Beraja Medical Institute INC
Organization subpart
No
Enumeration date
Aug 9, 2006
Certification date
Apr 4, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology–FLYes
208200000X Plastic Surgery–FL

Practice location

2550 S Douglas Rd
Coral Gables, FL 33134-6126

Phone 305-443-7070 · Fax 305-357-1701

Mailing address

44 Barkley Cir
Fort Myers, FL 33907-7530

Phone 239-985-7171 · Fax 392-985-7118

Authorized official

Thomas Albert Quigley
Director
2394662020

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