Organization
IMAGING CENTER AT LAKEWOOD LLC
Active
Organization
IMAGING CENTER AT LAKEWOOD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDEL EDWARD FRANCO MD (MEDICAL DIRECTOR)
(904) 391-1600
Entity
Organization
Contact information
Practice address
2345 FORBES ST, JACKSONVILLE, FL 32204-4311
(904) 391-1600
(904) 391-1604
Mailing address
2301 UNIVERSITY BLVD WEST, JACKSONVILLE, FL 32217-2022
(904) 448-2299
(904) 448-2298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME59554
FL
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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