Organization
RADIOLOGY CONSULTANTS OF JACKSONVILLE MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GRNJA MD (PRESIDENT)
(954) 929-3400
Entity
Organization
Contact information
Practice address
7999 PHILIPS HWY STE 310, JACKSONVILLE, FL 32256-4404
(904) 652-0614
(954) 929-2001
Mailing address
210 S FEDERAL HWY STE 403, HOLLYWOOD, FL 33020-6811
(954) 929-3400
(954) 929-2001
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
ME20137
FL
261QR0206X
Mammography Clinic/Center
ME20137
FL
Other
Enumeration date
04/10/2007
Last updated
12/12/2007
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