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Organization
PROFESSIONAL RADIOLOGY ASSOCIATES PA
Active
Organization
PROFESSIONAL RADIOLOGY ASSOCIATES PA
Active
Other names
Aurora Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A LORD M.D. (PRESIDENT)
(904) 379-2226
Entity
Organization
Contact information
Practice address
4634 SUMMERDALE DR, PACE, FL 32571-1368
(904) 379-2226
Mailing address
100 BAYVIEW CIR, 400, NEWPORT BEACH, CA 92660-2983
(949) 242-5592
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/09/2015
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