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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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