Jacksonville Beaches Medical Imaging Inc in Jacksonville - Radiology

Jacksonville Beaches Medical Imaging Inc - NPI 1568459055

Jacksonville Beaches Medical Imaging Inc is a Radiology in Jacksonville, 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 1568459055. The last update date is 2012-10-02.

Jacksonville Beaches Medical Imaging Inc's current location address is 6138 Kennerly Rd, Jacksonville, Florida. You can contact this provider via phone number 9047337770 and fax number 9047337778. The mailing address for Jacksonville Beaches Medical Imaging Inc is 6138 Kennerly Rd, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jacksonville Beaches Medical Imaging Inc
Address 6138 Kennerly Rd, Jacksonville, Florida
Phone Number 9047337770
Fax Number 9047337778
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1568459055
Provider Enumeration Date 2005-09-30
Last Updated Date 2012-10-02

Provider Mailing Address Detail

Address 6138 Kennerly Rd
City Jacksonville
State Florida (FL)
Post Code 322164345
Phone Number 9047337770
Fax Number 9047337778

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 261Qr0200X
Licence No HCCR1418
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 1ST HEALTH PROVIDER
7842141 FL AETNA PROVIDER #
V2499 FL BCBS VIN #
2052827 FL UNITED HEALTH CARE
470001168 FL RR MEDICARE PIN
147878601 FL 1ST HEALTH W/C #

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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 (CMS)?

The Jacksonville Beaches Medical Imaging Inc has been assigned the NPI (National Provider Identifier) 1568459055. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jacksonville Beaches Medical Imaging Inc is geographically located?

The Jacksonville Beaches Medical Imaging Inc is physically situated at the following location: 6138 Kennerly Rd, Jacksonville, FL, 322164345.

What is Jacksonville Beaches Medical Imaging Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jacksonville Beaches Medical Imaging Inc is Radiology, and the taxonomy code that categorizes this field of expertise is 261Qr0200X.

When was the Jacksonville Beaches Medical Imaging Inc's 1568459055 issued?

The Jacksonville Beaches Medical Imaging Inc's 1568459055 was issued on 2005-09-30.

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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