Organization · Type 2 NPI
Diagnostic Imaging PA
Diagnostic Radiology Physician · Ponte Vedra Beach, FL
NPI number
1285870089
Active
Practice location
1052 Ponte Vedra Blvd
Ponte Vedra Beach, FL 32082-4015
Fax (904) 551-0709
Mailing address
130 Corridor Rd Unit 428
Ponte Vedra Beach, FL 32004-7718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
About NPI 1285870089
Diagnostic Imaging PA's National Provider Identifier is 1285870089, issued on Dec 29, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Oct 7, 2021.