First Coast Imaging, LLC

NPI #1053523670 in Macclenny, Florida

Provider Information

NPI Number: 1053523670
Entity Type: Organization
Organization Name: First Coast Imaging, LLC
Primary Specialty: Specialist
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 159 N 3RD ST
City: Macclenny
State: Florida
ZIP Code: 32063-2103
Phone: (904) 733-7800

Authorized Official

Name: DR. JUAN C. LUIS-JORGE, M.D.
Title: MEDICAL DIRECTOR
Phone: (904) 733-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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