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Organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Active
Organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Active
Parent organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Other names
Flagler Health Imaging Clinic/Center Radiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC.
Authorized official
JOHN WELLS FRANKS (DELEGATED OFFICIAL)
(904) 819-4065
Entity
Organization
Contact information
Practice address
351 TOWN PLAZA AVENUE, 101, PONTE VEDRA, FL 32081
(904) 819-4602
Mailing address
PO BOX 3266, ST AUGUSTINE, FL 32085-3266
(904) 819-4602
(904) 819-4426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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