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Organization

SUMMERLIN IMAGING CENTER LLC

Active
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Organization

SUMMERLIN IMAGING CENTER LLC

Active
Other names
Jacksonville Diagnostic Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
BRADFORD G PETERS (FINANCIAL OFFICER)
(561) 331-0808
Entity
Organization

Contact information

Practice address
3550 UNIVERSITY BLVD S STE 102, JACKSONVILLE, FL 32216-4227
(561) 331-0808
Mailing address
6415 LAKE WORTH RD STE 102, GREENACRES, FL 33463-3009
(561) 331-0808
(561) 237-6034

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
09/10/2019
Last updated
03/27/2020
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