Organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Active
Parent organization
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Other names
Flagler Health Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Authorized official
JOHN WELLS FRANKS (DELEGATED OFFICIAL)
(904) 819-4065
Entity
Organization
Contact information
Practice address
351 TOWN PLAZA AVE, STE 101, PONTE VEDRA, FL 32081
(904) 819-4602
(904) 819-4426
Mailing address
PO BOX 3266, ST AUGUSTINE, FL 32085-3266
(904) 819-4602
(904) 819-4426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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