MEDICARE: GLOBAL OPEN IMAGING CENTERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	1000028650	FL

General Provider Information

NPI Number	:	1275862161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL OPEN IMAGING CENTERS INC

Provider Business Mailing Address
First Line	:	6349 BEACH BLVD STE 1A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-2707
Country	:	US
Telephone Number	:	904-707-8614
Fax Number	:

Provider Business Practice Location Address
First Line	:	6349 BEACH BLVD STE 1A
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-2707
Country	:	US
Telephone Number	:	904-707-8614
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GORDON FENDERSON
Credential	:
Telephone Number	:	904-707-8614

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	03/30/2011

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Directions to “GLOBAL OPEN IMAGING CENTERS INC ” Practice Location

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