Organization
PROFESSIONAL RADIOLOGY ASSOCIATES PA
Active
Other names
Alliance MRI of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSON LORD MD (PRESIDENT)
(904) 379-2226
Entity
Organization
Contact information
Practice address
517 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(949) 242-5808
Mailing address
100 BAYVIEW CIR, 400, NEWPORT BEACH, CA 92660
(949) 242-5592
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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