Professional Radiology Associates PA

NPI #1538551320 in Pace, Florida

Provider Information

NPI Number: 1538551320
Entity Type: Organization
Organization Name: Professional Radiology Associates PA
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Mar 3, 2015
Last Updated: Mar 9, 2015

Practice Location

Address: 4634 SUMMERDALE DR
City: Pace
State: Florida
ZIP Code: 32571-1368
Phone: (904) 379-2226

Authorized Official

Name: DR. JASON A LORD, M.D.
Title: PRESIDENT
Phone: (904) 379-2226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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