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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