Organization · Type 2 NPI

Summerlin Imaging Center LLC

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1316596471 Active

Practice location

3550 University Blvd S Ste 102
Jacksonville, FL 32216-4227

Call (561) 331-0808 Map

Mailing address

6415 Lake Worth Rd Ste 102
Greenacres, FL 33463-3009

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.

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NPI record

NPI: 1316596471
Entity type: Organization (Type 2)
Issued: Sep 10, 2019
Last updated: Mar 27, 2020
Status: Active

Other names

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Jacksonville Diagnostic Imaging · other name
Jacksonville Diagnostic Imaging · other name

Authorized official

Bradford G Peters
Financial Officer
(561) 331-0808

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About NPI 1316596471

Summerlin Imaging Center LLC's National Provider Identifier is 1316596471, issued on Sep 10, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 27, 2020.