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Organization
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Active
Organization
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Active
Parent organization
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Other names
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Authorized official
KEESHA COMPTON (BILLING SUPERVISOR)
(904) 731-1556
Entity
Organization
Contact information
Practice address
3716 UNIVERSITY BLVD S STE 2, JACKSONVILLE, FL 32216-4318
(904) 446-9093
(904) 446-9095
Mailing address
PO BOX 5606, JACKSONVILLE, FL 32247-5606
(904) 446-9093
(904) 446-9095
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
FL
Other
Enumeration date
03/14/2008
Last updated
11/10/2008
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