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Organization
DOCTORS IMAGING GROUP LLC PUTNAM RADIOLOGY OFFICE
Active
Organization
DOCTORS IMAGING GROUP LLC PUTNAM RADIOLOGY OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN E. WARE M.D. (PRESIDENT/ PRACTICING PHYSICIAN)
(352) 331-9729
Entity
Organization
Contact information
Practice address
6121 SAINT JOHNS AVE, PALATKA, FL 32177-3889
(386) 326-0077
(386) 326-0188
Mailing address
PO BOX 147026, GAINESVILLE, FL 32614-7026
(386) 326-0077
(386) 326-0188
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270855
AVMED GROUP
FL
01
—
45280
BC GROUP
FL
01
—
CK3155
RRMC GROUP
FL
01
—
V2766
BC IDTF
FL
Enumeration date
08/09/2006
Last updated
09/11/2025
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