Organization
ST JOHNS IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK R KYLE (CHIEF MANAGER)
(615) 550-6009
Entity
Organization
Contact information
Practice address
2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4416
(615) 550-6009
(615) 550-6004
Mailing address
840 CRESCENT CENTRE DR, SUITE 200, FRANKLIN, TN 37067-4626
(615) 550-6009
(615) 550-6004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
03/31/2008
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