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NPI Code Detail

MEDICARE: J AND C IMAGING INC

MEDICARE: J AND C IMAGING 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
1261QR0200XRadiology Clinic/CenterHCC8918FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FILE 9385OTHERFLAHCA HCC UNIT

General Provider Information

NPI Number : 1730489048
Entity Type Code : Organization
Provider Name (Legal Business Name) : J AND C IMAGING INC
Provider Business Mailing Address
First Line : 2471 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-3150
Country : US
Telephone Number : 786-275-4514
Fax Number : 786-275-4516
Provider Business Practice Location Address
First Line : 2471 NW 7TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33125-3150
Country : US
Telephone Number : 786-275-4514
Fax Number : 786-275-4516
Authorized Official
Title or Position : PRESIDENT
Name : YOEL CABALLERO
Credential :
Telephone Number : 786-275-4514
Provider Enumeration Date : 11/02/2010
Last Update Date : 11/02/2010

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