institution
Medfund Llc
Magnetic Resonance Imaging (MRI) Clinic/Center in St Augustine, Florida
NPI 1841293982

Medfund Llc is a Magnetic Resonance Imaging (MRI) Clinic/Center based in Sarasota, FL and is specialized in Magnetic Resonance Imaging (MRI). Medfund Llc practices in St Augustine, FL. The NPI Number for Medfund Llc is 1841293982 and holds a License No. HCC5205 (Florida).

The current practice location address for Medfund Llc is 200 Southpark Blvd, St Augustine, FL and can be reached out via phone at 904-819-0920 and via fax at 904-819-0299.

Location: 200 Southpark Blvd, St Augustine, FL, 34236-5945
institution
Provider Profile Details
NPI Number
1841293982
Provider Name
Medfund Llc
Credential
Provider Entity Type
Organization
Address
200 Southpark Blvd, St Augustine, FL, 34236-5945
Phone Number
904-819-0920
Fax Number
904-819-0299
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2302684 01 AETNA HMO #
V2456 01 FL BCBS PROVIDER #
105715-15 01 FL CITRUS HMO
7008104 01 AETNA PPO/POS #
institution
Provider Business Practice Location Address Details
Address
200 Southpark Blvd
City
State
Zip
32086-3101
Phone Number
904-819-0920
Fax Number
904-819-0299
person
Provider Business Mailing Address Details
Address
200 Southpark Blvd
City
State
Zip
32086-3101
Phone Number
904-819-0920
Fax Number
904-819-0299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
HCC5205 (Florida)
Definition
Definition to come...
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