Organization
PUTNAM IMAGING CENTER, LLC
Active
Parent organization
PUTNAM PHYSICIANS GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUTNAM PHYSICIANS GROUP, LLC
Authorized official
PERINCHERY NARAYAN (PRESIDENT)
(352) 338-2089
Entity
Organization
Contact information
Practice address
6300 ST. JOHNS AVE., PALATKA, FL 32177-3884
(386) 202-4006
(386) 385-5699
Mailing address
3426 NW 43RD ST, SUITE B, GAINESVILLE, FL 32606-8156
(352) 338-2089
(386) 530-2067
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME54477
FL
207R00000X
Internal Medicine Physician
ME64833
FL
207RG0100X
Gastroenterology Physician
ME81873
FL
207RP1001X
Pulmonary Disease Physician
ME54534
FL
208800000X
Urology Physician
Primary
ME76357
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2627
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2712
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2829
FL
Other
Enumeration date
10/15/2015
Last updated
11/20/2015
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