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PARK AVENUE IMAGING
NPI 1720536154
Radiology - Diagnostic Radiology in Orange Park, FL

Active since September 14, 2016
2128 PARK AVE, ORANGE PARK, FL 32073(904) 375-8884(904) 375-8887 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, Mar 27, 2020, Sep 10, 2019 and 4 more (7 updates tracked since 2016).

About Park Avenue Imaging NPPES

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

PARK AVENUE IMAGING (NPI 1720536154) is a healthcare organization registered as a diagnostic radiology in Orange Park, Florida and active in the NPI registry since September 2016. The organization lists Bradford Peters, Cfo, as its authorized official.

NPPES Registry Identity

NPI1720536154
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSUMMERLIN IMAGING CENTER LLC
Location Address2128 PARK AVEOrange Park, FL 32073
Mailing Address6415 Lake Worth Rd Ste 102Greenacres, FL 33463-3009 · (561) 331-0808 · Fax (561) 237-6034
Phone(904) 375-8884
Fax(904) 375-8887
Organization SubpartNo
Authorized OfficialBradford PetersCfo · (561) 331-0808
Enumeration DateSeptember 14, 2016
Last NPPES UpdateAugust 25, 20207 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1720536154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2128 PARK AVE, Orange Park, FL 32073
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Other Names 1

Other NamePark Avenue Imaging

Other Identifiers 1

OtherHCC10650FL · Ahcc License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 4

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

INVERNESS MEDICAL IMAGING LLC
Radiology (Diagnostic Radiology)
2128 PARK AVE
ORANGE PARK, FL 32073
Clay County (352) 637-6100
DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
2128 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 264-9922
JASON KRAL II PT
Physical Therapist
2128 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 264-0921
MONIKA BENECIUK
Physical Therapist
2128 PARK AVE
ORANGE PARK, FL 32073
Clay County (904) 264-0921

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 Summerlin Imaging Center LLC's NPI number?

The NPI number for Summerlin Imaging Center LLC is 1720536154. It was assigned to this organization in the NPPES registry on September 14, 2016. The provider is also known as Park Avenue Imaging.

Where is Summerlin Imaging Center LLC located?

Summerlin Imaging Center LLC is located at 2128 Park Ave, Orange Park, FL 32073. The listed phone number is (904) 375-8884.

What is Summerlin Imaging Center LLC's specialty?

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

What insurance does Summerlin Imaging Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Summerlin Imaging Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summerlin Imaging Center LLC was last updated on August 25, 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.