Beaches Open Mri, Llc

LBN: Beaches Open Mri, Llc
Beaches Open Mri, Llc is an health care organization with primary practice located at 350 10Th Ave S , Jacksonville Beach FL 32250-5136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Beaches Open Mri, Llc can be contacted via phone (904) 247-2220, or through Frisk, Mark S. via phone (904) 247-2220.

Contact Information

Primary practice address
350 10Th Ave S Jacksonville Beach FL 32250-5136
Phone: (904) 247-2220
Fax: (904) 247-2296
Website:
Map and Directions
Authorized official contact:
Name: Frisk, Mark S. Doctor of Medicine (MD)
Phone: (904) 247-2220

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 0700012919 Florida

Profile Details

NPI number 1063564672
LBN Legal business name Beaches Open Mri, Llc
DBA Doing business as
Authorized official Frisk, Mark S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Jan 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063564672 NPPES
Florida Other 2240835 AETNA PROVIDER #
Florida Other 38350 AETNA PROVIDER #
Florida Other V2353 AETNA PROVIDER #

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