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Organization
PROFESSIONAL RADIOLOGY ASSOCIATES PA
Active
Organization
PROFESSIONAL RADIOLOGY ASSOCIATES PA
Active
Other names
Alliance MRI of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSON LORD MD (PRESIDENT)
(904) 379-2226
Entity
Organization
Contact information
Practice address
517 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(949) 242-5808
Mailing address
100 BAYVIEW CIR, 400, NEWPORT BEACH, CA 92660
(949) 242-5592
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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