Medical Diagnostic Center Of Jacksonville

LBN: Medical Diagnostic Center Of Jacksonville
Medical Diagnostic Center Of Jacksonville is an health care organization with primary practice located at 280 Dundas Dr , Jacksonville FL 32218-5517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Medical Diagnostic Center Of Jacksonville can be contacted via phone (904) 757-7878, or through Sacaquini, Nicolau via phone (904) 757-7878.

Contact Information

Primary practice address
280 Dundas Dr Jacksonville FL 32218-5517
Phone: (904) 757-7878
Fax: (904) 757-7715
Website:
Map and Directions
Authorized official contact:
Name: Sacaquini, Nicolau
Phone: (904) 757-7878

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X HCC5332 Florida

Profile Details

NPI number 1891865929
LBN Legal business name Medical Diagnostic Center Of Jacksonville
DBA Doing business as
Authorized official Sacaquini, Nicolau
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1891865929 NPPES
Florida Other V2665 BCBS PROVIDER NUMBER

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