# MILLENIUM HEALTHCARE DIAGNOSTICS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053689877
- **Authorized official:** MR. MIROSLAV JAKSIC (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (810) 623-3211

## Contact information

- **Practice address:** 7201 NW 88TH AVE, TAMARAC, FL 33321-2517
- **Practice address phone:** (954) 720-0903
- **Practice address fax:** (954) 720-4583
- **Mailing address:** 2929 S CARAWAY RD, SUITE 6, JONESBORO, AR 72401-7307
- **Mailing address phone:** (870) 275-7749
- **Mailing address fax:** (870) 275-6073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | HCC5165 | FL | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 11/12/2015