MEDICARE: EIBER RADIOLOGY INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2085N0904X	Nuclear Radiology Physician
2	2085R0202X	Diagnostic Radiology Physician
3	2085B0100X	Body Imaging Physician

General Provider Information

NPI Number	:	1619909686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EIBER RADIOLOGY INC

Provider Business Mailing Address
First Line	:	5210 BELFORT RD
Second Line	:	SUITE 130
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6024
Country	:	US
Telephone Number	:	904-281-7600
Fax Number	:	904-281-7601

Provider Business Practice Location Address
First Line	:	5210 BELFORT RD
Second Line	:	SUITE 130
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6024
Country	:	US
Telephone Number	:	904-281-7600
Fax Number	:	904-281-7601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALBERTO M EIBER
Credential	:	MD
Telephone Number	:	305-557-0330

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	11/26/2008

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Directions to “EIBER RADIOLOGY INC ” Practice Location

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