MEDICARE: SONOHOPE IMAGING SERVICES LLC

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	2085U0001X	Diagnostic Ultrasound Physician
2	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1336726488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONOHOPE IMAGING SERVICES LLC

Provider Business Mailing Address
First Line	:	1855 WELLS RD STE 1
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-6766
Country	:	US
Telephone Number	:	904-513-0112
Fax Number	:	904-467-3724

Provider Business Practice Location Address
First Line	:	1855 WELLS RD STE 1
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-6766
Country	:	US
Telephone Number	:	904-513-0112
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIA GALARZA
Credential	:	ARDMS, ARRT
Telephone Number	:	904-513-0112

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	05/31/2024

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Directions to “SONOHOPE IMAGING SERVICES LLC ” Practice Location

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