Organization
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Active
Organization
MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Active
Other names
SOUTHBANK IMAGING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAU SACAQUINI (BUSINESS DIRECTOR)
(904) 731-1556
Entity
Organization
Contact information
Practice address
3550 UNIVERSITY BLVD S, STE 102, JACKSONVILLE, FL 32216-4246
(904) 731-7296
(904) 636-9875
Mailing address
3550 UNIVERSITY BLVD S, STE 102, JACKSONVILLE, FL 32216-4246
(904) 731-7296
(904) 636-9875
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/21/2005
Last updated
08/22/2020
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