Jackson Diagnostic Imaging, INC
NPI #1750513016 in Winter Haven, Florida
Provider Information
- NPI Number
- 1750513016
- Entity Type
- Organization
- Organization Name
- Jackson Diagnostic Imaging, INC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Aug 19, 2009
- Last Updated
- Nov 5, 2010
Practice Location
- Address
- 65 3RD ST NW
- Address 2
- SUITE 200
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33881-4670
- Phone
- (863) 299-2424
Authorized Official
- Name
- MS. SARELYN BERTINA JACKSON
- Title
- PRESIDENT/CEO
- Phone
- (863) 299-2424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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