Jacksonville Beaches Medical Imaging Inc in Jacksonville Beach - Radiology

Jacksonville Beaches Medical Imaging Inc - NPI 1801883582

Jacksonville Beaches Medical Imaging Inc is a Radiology in Jacksonville Beach, Florida. Jacksonville Beaches Medical Imaging Inc practices all healthcare services and medical treatments related to Radiology. The NPI Number for Jacksonville Beaches Medical Imaging Inc is 1801883582. The last update date is 2012-10-02.

Jacksonville Beaches Medical Imaging Inc's current location address is 3316 3rd St S, Jacksonville Beach, Florida. You can contact this provider via phone number 9042417772 and fax number 9042417702. The mailing address for Jacksonville Beaches Medical Imaging Inc is 3316 3rd St S, Jacksonville Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacksonville Beaches Medical Imaging Inc
Address 3316 3rd St S, Jacksonville Beach, Florida
Phone Number 9042417772
Fax Number 9042417702
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF OPER
Authorized Official Name Blaese Cathy
Telephone Number 9042417772

NPI Number Detail

NPI Number 1801883582
Provider Enumeration Date 2005-09-29
Last Updated Date 2012-10-02

Provider Mailing Address Detail

Address 3316 3rd St S
City Jacksonville Beach
State Florida (FL)
Post Code 322506073
Phone Number 9042417772
Fax Number 9042417702

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 261Qr0200X
Licence No HCCR1416
Definition:
Takes images of the body using radiologic techniques to diagnose disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1840590 FL FIRST HEALTH ID
1416 FL HEALTH CARE CLINIC REG
470001169 FL RR MEDICARE
V2405 FL BCBS PROVIDER #
147878900 FL 1ST HEALTH W/C ID

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FAQs about Jacksonville Beaches Medical Imaging Inc

What is the unique identifier code issued to Jacksonville Beaches Medical Imaging Inc by the Centers for Medicare & Medicaid Services?

The Jacksonville Beaches Medical Imaging Inc has been assigned the NPI (National Provider Identifier) 1801883582. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jacksonville Beaches Medical Imaging Inc's facilities are geographically located?

The facilities of Jacksonville Beaches Medical Imaging Inc are physically situated at the following location: 3316 3Rd St S, Jacksonville Beach, FL, 322506073.

What is Jacksonville Beaches Medical Imaging Inc's area of expertise and its corresponding taxonomy classification?

The Jacksonville Beaches Medical Imaging Inc's field of specialization is Radiology, and it falls under the taxonomy code 261Qr0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801883582 to Jacksonville Beaches Medical Imaging Inc?

The Centers for Medicare & Medicaid Services originally issued the 1801883582 to Jacksonville Beaches Medical Imaging Inc on 2005-09-29.

When was the information related to Jacksonville Beaches Medical Imaging Inc most recently updated or refreshed?

The details pertaining to the Jacksonville Beaches Medical Imaging Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-02.

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