Boutique Breast Imaging, LLC
Boutique Breast Imaging, LLC is a Diagnostic Radiology Physician in Jacksonville, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6871 Belfort Oaks PlJacksonville, FL 32216-6242
Phone: (904) 553-8806
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Mammography Clinic/Center | Taxonomy 261QR0206X |
Record details
| NPI number | 1952180887 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathryn Peyton — Manager · (904) 553-8806 |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | October 2, 2023 |
| Certification date | October 2, 2023 |
| Mailing address | 823 Waterman Rd N, Jacksonville, FL 32207-5240 |
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Dr. Christopher Michael Brady, MD
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Pavan Manish Brahmbhatt, MBBS
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