Park Avenue Imaging

LBN: Summerlin Imaging Center Llc
Park Avenue Imaging is an health care organization with primary practice located at 2128 Park Ave , Orange Park FL 32073. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Summerlin Imaging Center Llc can be contacted via phone (904) 375-8884, or through Peters, Bradford via phone (561) 331-0808.

Contact Information

Primary practice address
2128 Park Ave Orange Park FL 32073
Phone: (904) 375-8884
Fax: (904) 375-8887
Website:
Map and Directions
Authorized official contact:
Name: Peters, Bradford
Phone: (561) 331-0808

Health care specialties

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

Profile Details

NPI number 1720536154
LBN Legal business name Summerlin Imaging Center Llc
DBA Doing business as Park Avenue Imaging
Authorized official Peters, Bradford
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2016
Last updated Aug 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720536154 NPPES
Florida Other HCC10650 AHCC LICENSE

Popular Providers