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MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
NPI 1164592218
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since November 08, 2006
1400 BISHOP ESTATES RD, JACKSONVILLE, FL 32259(904) 287-6263(904) 287-6213 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Diagnostic Center Of Jacksonville NPPES

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

MEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE (NPI 1164592218) is a healthcare organization registered as a diagnostic radiology in Jacksonville, Florida and active in the NPI registry since November 2006. The organization lists Nicolau Sacaquini, Business Director, as its authorized official.

NPPES Registry Identity

NPI1164592218
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMEDICAL DIAGNOSTIC CENTER OF JACKSONVILLE
Location Address1400 BISHOP ESTATES RDJacksonville, FL 32259-4244
Mailing AddressPo Box 5606Jacksonville, FL 32247-5606 · (904) 287-6263 · Fax (904) 287-6213
Phone(904) 287-6263
Fax(904) 287-6213
Organization SubpartNo
Authorized OfficialNicolau SacaquiniBusiness Director · (904) 731-1556
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164592218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · HCC5331
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1400 BISHOP ESTATES RD, Jacksonville, FL 32259
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Other Identifiers 1

OtherV2764FL · Bcbs Provider Number

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 3

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

FRUIT COVE FAMILY MEDICINE P A
Family Medicine
1400 BISHOP ESTATES RD
JACKSONVILLE, FL 32259
St. Johns County (904) 287-2794
CAROL ANN-MARIE NOELL PA-C
Physician Assistant (Medical)
1400 BISHOP ESTATES RD
JACKSONVILLE, FL 32259
St. Johns County (904) 287-2794
NICOLE ELAINE FIFER PAC
Physician Assistant
1400 BISHOP ESTATES RD
JACKSONVILLE, FL 32259
St. Johns County (904) 287-2794

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 Medical Diagnostic Center Of Jacksonville's NPI number?

The NPI number for Medical Diagnostic Center Of Jacksonville is 1164592218. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Medical Diagnostic Center Of Jacksonville located?

Medical Diagnostic Center Of Jacksonville is located at 1400 Bishop Estates Rd, Jacksonville, FL 32259. The listed phone number is (904) 287-6263.

What is Medical Diagnostic Center Of Jacksonville's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Medical Diagnostic Center Of Jacksonville was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.