PHYSICIAN GROUP HOLDINGS, LLC
NPI 1003478827
Radiology - Vascular & Interventional Radiology in Jacksonville, FL

Q: What is Physician Group Holdings, LLC's NPI number?

The NPI number for Physician Group Holdings, LLC is 1003478827. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as Ageless Vein Center.

Q: What is Physician Group Holdings, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since July 01, 2019

10210 SAN JOSE BLVD STE 4, JACKSONVILLE, FL 32257(904) 990-8484(904) 990-8485 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Physician Group Holdings, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN GROUP HOLDINGS, LLC (NPI 1003478827), doing business as Ageless Vein Center, is a healthcare organization registered as a vascular & interventional radiology in Jacksonville, Florida and active in the NPI registry since July 2019. The organization lists Megan Elizabeth Deacon-casey, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003478827

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NamePHYSICIAN GROUP HOLDINGS, LLC

Location Address10210 SAN JOSE BLVD STE 4Jacksonville, FL 32257-6271

Mailing Address10210 San Jose Blvd Ste 4Jacksonville, FL 32257-6271 · (904) 990-8484 · Fax (904) 990-8485

Phone(904) 990-8484

Fax(904) 990-8485

Organization SubpartNo

Authorized OfficialMegan Elizabeth Deacon-caseyMedical Director · (904) 990-8484

Enumeration DateJuly 1, 2019

✔ NPI 1003478827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

10210 SAN JOSE BLVD STE 4, Jacksonville, FL 32257

Open in Google Maps ↗

Other Names 1

Doing Business AsAgeless Vein Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONI COLLINS RICKETTS PA-C

Physician Assistant

10210 SAN JOSE BLVD STE 4
JACKSONVILLE, FL 32257

Duval County (904) 990-8484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Group Holdings, LLC's NPI number?

The NPI number for Physician Group Holdings, LLC is 1003478827. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as Ageless Vein Center.

Where is Physician Group Holdings, LLC located?

Physician Group Holdings, LLC is located at 10210 San Jose Blvd Ste 4, Jacksonville, FL 32257. The listed phone number is (904) 990-8484.

What is Physician Group Holdings, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Physician Group Holdings, LLC was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.