Organization · Type 2 NPI
San Jose Imaging Center LLC
Radiology Clinic/Center · Jacksonville, FL
NPI number
1083802805
Active
Practice location
10696 Old Saint Augustine Rd
Jacksonville, FL 32257-1000
Fax (904) 268-3060
Mailing address
PO Box 270543
Tampa, FL 33688-0543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1083802805
San Jose Imaging Center LLC's National Provider Identifier is 1083802805, issued on Oct 5, 2007. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 5, 2020.