Organization · Type 2 NPI

Boutique Breast Imaging, LLC

Diagnostic Radiology Physician · Jacksonville, FL

NPI number 1952180887 Active

Practice location

6871 Belfort Oaks Pl
Jacksonville, FL 32216-6242

Mailing address

823 Waterman Rd N
Jacksonville, FL 32207-5240

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Mammography Clinic/Center 261QR0206XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

10 other providers at this address

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About NPI 1952180887

Boutique Breast Imaging, LLC's National Provider Identifier is 1952180887, issued on Sep 28, 2023. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 2, 2023.