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Summerlin Imaging Center Llc
Diagnostic Radiology Physician in Orange Park, Florida
NPI 1720536154

Summerlin Imaging Center Llc is a Diagnostic Radiology Physician based in Greenacres, FL and is specialized in Diagnostic Radiology. Summerlin Imaging Center Llc practices in Orange Park, FL. The NPI Number for Summerlin Imaging Center Llc is 1720536154 and holds a License No. (Florida).

The current practice location address for Summerlin Imaging Center Llc is 2128 Park Ave, Orange Park, FL and can be reached out via phone at 904-375-8884 and via fax at 904-375-8887.

Location: 2128 Park Ave, Orange Park, FL, 33463-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720536154
Provider Name
Summerlin Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
2128 Park Ave, Orange Park, FL, 33463-3009
Phone Number
904-375-8884
Fax Number
904-375-8887
Provider Enumeration Date
09/14/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HCC10650 01 FL AHCC LICENSE
institution
Provider Business Practice Location Address Details
Address
2128 Park Ave
City
Orange Park
State
Florida
Zip
32073
Phone Number
904-375-8884
Fax Number
904-375-8887
person
Provider Business Mailing Address Details
Address
2128 Park Ave
City
Orange Park
State
Florida
Zip
32073
Phone Number
904-375-8884
Fax Number
904-375-8887
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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