FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC. NPI 1407489743

NPI Information

NPI: 1407489743
Provider Name: FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC.
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 10D2191627

Address:
351 TOWN PLAZA AVE
STE 101
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 819-4602
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FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. is a radiology clinic center in Ponte Vedra, FL. FLAGLER PROFESSIONAL HEALTH CARE SERVICES, INC. NPI is 1407489743. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

351 TOWN PLAZA AVE
STE 101
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 819-4602
Fax: (904) 819-4426

The provider's authorized official is John Wells Franks .
The authorized official title is Delegated Official and has the following contact phone number (904) 819-4065.

The CLIA number assigned to this NPI record is 10D2191627 - other - free standing imaging with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2020 and was last updated on 2/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	No
3	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
4	261QR0200X	Clinic/Center	Radiology	Yes
5	261QR0206X	Clinic/Center	Radiology, Mammography	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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