Healthcare Provider Details

I. General information

NPI: 1831113216
Provider Name (Legal Business Name): AMERICAN DIAGNOSTIC CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 BELFORT PKWY SUITE 301
JACKSONVILLE FL
32256-6931
US

IV. Provider business mailing address

7900 BELFORT PKWY SUITE 301
JACKSONVILLE FL
32256-6931
US

V. Phone/Fax

Practice location:
  • Phone: 904-517-5500
  • Fax: 904-517-5501
Mailing address:
  • Phone: 904-517-5500
  • Fax: 904-517-5501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173F00000X
TaxonomySleep Specialist (PhD)
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW KING
Title or Position: PRESIDENT
Credential:
Phone: 904-517-5500