# DOCTORS IMAGING GROUP LLC PUTNAM RADIOLOGY OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932119963
- **Authorized official:** DR. DAN E. WARE M.D. (PRESIDENT/ PRACTICING PHYSICIAN)
- **Authorized official phone:** (352) 331-9729

## Contact information

- **Practice address:** 6121 SAINT JOHNS AVE, PALATKA, FL 32177-3889
- **Practice address phone:** (386) 326-0077
- **Practice address fax:** (386) 326-0188
- **Mailing address:** PO BOX 147026, GAINESVILLE, FL 32614-7026
- **Mailing address phone:** (386) 326-0077
- **Mailing address fax:** (386) 326-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 09/11/2025

## 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 |