Summerlin Imaging Center LLC
NPI #1316596471 in Jacksonville, Florida
Provider Information
- NPI Number
- 1316596471
- Entity Type
- Organization
- Organization Name
- Summerlin Imaging Center LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Mar 27, 2020
Practice Location
- Address
- 3550 UNIVERSITY BLVD S STE 102
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-4227
- Phone
- (561) 331-0808
Authorized Official
- Name
- BRADFORD G PETERS
- Title
- FINANCIAL OFFICER
- Phone
- (561) 331-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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