Physician Group Holdings, LLC
NPI #1003478827 in Jacksonville, Florida
Provider Information
- NPI Number
- 1003478827
- Entity Type
- Organization
- Organization Name
- Physician Group Holdings, LLC
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Jul 1, 2019
- Last Updated
- Jul 1, 2019
Practice Location
- Address
- 10210 SAN JOSE BLVD STE 4
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32257-6271
- Phone
- (904) 990-8484
Authorized Official
- Name
- DR. MEGAN ELIZABETH DEACON-CASEY, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (904) 990-8484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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