Healthcare Provider Details

I. General information

NPI: 1760590913
Provider Name (Legal Business Name): NORTH FLORIDA IMAGING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SOUTH THIRD STREET
JACKSONVILLE BEACH FL
32250
US

IV. Provider business mailing address

2380 SOUTH THIRD STREET
JACKSONVILLE BEACH FL
32250
US

V. Phone/Fax

Practice location:
  • Phone: 904-247-5551
  • Fax: 904-242-9748
Mailing address:
  • Phone: 904-247-5551
  • Fax: 904-242-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License NumberHCC6257
License Number StateFL

VIII. Authorized Official

Name: CHRISTOPHER J ALEPA
Title or Position: OWNER
Credential: DC
Phone: 904-247-5551