St Johns Radiology Associates Pa

LBN: St Johns Radiology Associates Pa
St Johns Radiology Associates Pa is an health care organization with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. St Johns Radiology Associates Pa can be contacted via phone (904) 819-4398, or through Aponte-Lopez, Rafael via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: Radiology Department Saint Augustine FL 32086-5784
Fax: (904) 819-4976
Website:
Authorized official contact:
Name: Aponte-Lopez, Rafael Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1295897734
LBN Legal business name St Johns Radiology Associates Pa
DBA Doing business as
Authorized official Aponte-Lopez, Rafael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Oct 17th, 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 1295897734 NPPES
Florida MEDICAID 058496700

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