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NPI Code Detail

MEDICARE: THE MEDICAL IMAGING PARTNERSHIP - JAX1 LLC

MEDICARE: THE MEDICAL IMAGING PARTNERSHIP - JAX1 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
1261QR0200XRadiology Clinic/Center

General Provider Information

NPI Number : 1659186880
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEDICAL IMAGING PARTNERSHIP - JAX1 LLC
Provider Business Mailing Address
First Line : 1540 BUSINESS CENTER DR STE B
Second Line :
City : FLEMING ISLAND
State : FL
Zip : 32003-4419
Country : US
Telephone Number : 904-996-8100
Fax Number : 904-389-8699
Provider Business Practice Location Address
First Line : 3900 MILLENIA BLVD STE 150
Second Line :
City : ORLANDO
State : FL
Zip : 32839-6407
Country : US
Telephone Number : 904-996-8100
Fax Number : 904-996-8101
Authorized Official
Title or Position : CEO
Name : JOSHUA HAMMOND
Credential :
Telephone Number : 904-996-8100
Provider Enumeration Date : 02/13/2025
Last Update Date : 02/13/2025

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Directions to “THE MEDICAL IMAGING PARTNERSHIP - JAX1 LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.