institution
Jacksonville Beaches Medical Imaging Inc
Radiology Clinic/Center in Jacksonville, Florida
NPI 1568459055

Jacksonville Beaches Medical Imaging Inc is a Radiology Clinic/Center based in Jacksonville, FL and is specialized in Radiology. Jacksonville Beaches Medical Imaging Inc practices in Jacksonville, FL. The NPI Number for Jacksonville Beaches Medical Imaging Inc is 1568459055 and holds a License No. HCCR1418 (Florida).

The current practice location address for Jacksonville Beaches Medical Imaging Inc is 6138 Kennerly Rd, Jacksonville, FL and can be reached out via phone at 904-733-7770 and via fax at 904-733-7778. You can also correspond with Jacksonville Beaches Medical Imaging Inc through the mailing address at 6138 KENNERLY RD, JACKSONVILLE, FL - 32216-4345 (mailing address contact number: 904-733-7770).

Location: 6138 Kennerly Rd, Jacksonville, FL, 32216-4345
institution
Provider Profile Details
NPI Number
1568459055
Provider Name
Jacksonville Beaches Medical Imaging Inc
Credential
Provider Entity Type
Organization
Address
6138 Kennerly Rd, Jacksonville, FL, 32216-4345
Phone Number
904-733-7770
Fax Number
904-733-7778
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1840590 01 FL 1ST HEALTH PROVIDER
7842141 01 FL AETNA PROVIDER #
V2499 01 FL BCBS VIN #
2052827 01 FL UNITED HEALTH CARE
470001168 01 FL RR MEDICARE PIN
147878601 01 FL 1ST HEALTH W/C #
institution
Provider Business Practice Location Address Details
Address
6138 Kennerly Rd
City
State
Zip
32216-4345
Phone Number
904-733-7770
Fax Number
904-733-7778
person
Provider Business Mailing Address Details
Address
6138 Kennerly Rd
City
State
Zip
32216-4345
Phone Number
904-733-7770
Fax Number
904-733-7778
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
HCCR1418 (Florida)
Definition
Definition to come...
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