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Organization

MONUMENT-9A IMAGING & DIAGNOSTIC CENTER L L C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN C LUIS-JORGE M.D. (MEDICAL DIRECTOR)
(904) 855-0700
Entity
Organization

Contact information

Practice address
1201 MONUMENT RD STE 101, JACKSONVILLE, FL 32225-6494
(904) 855-0700
(904) 855-0739
Mailing address
1201 MONUMENT RD STE 101, JACKSONVILLE, FL 32225-6494
(904) 855-0700
(904) 855-0739

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
HCC5351
FL

Other

Enumeration date
07/28/2006
Last updated
07/07/2008
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