Provider Demographics
NPI:1881870715
Name:ULTRASOUND AND MAMMOGRAPHY ASSOCIATES,P.A.
Entity type:Organization
Organization Name:ULTRASOUND AND MAMMOGRAPHY ASSOCIATES,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-687-9633
Mailing Address - Street 1:603 VILLAGE BLVD
Mailing Address - Street 2:SUITE# 202
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1950
Mailing Address - Country:US
Mailing Address - Phone:561-687-9633
Mailing Address - Fax:561-684-5969
Practice Address - Street 1:603 VILLAGE BLVD
Practice Address - Street 2:SUITE# 202
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1950
Practice Address - Country:US
Practice Address - Phone:561-687-9633
Practice Address - Fax:561-684-5969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME56186174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3000615677Medicare PIN
FLB98183Medicare UPIN