Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boutique Breast Imaging, LLC

Organization Diagnostic Radiology Physician · NPI 1952180887

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.

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Practice location Address checks out

6871 Belfort Oaks Pl
Jacksonville, FL 32216-6242
Phone: (904) 553-8806
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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 number1952180887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathryn Peyton — Manager · (904) 553-8806
NPI enumeratedSeptember 28, 2023
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address823 Waterman Rd N, Jacksonville, FL 32207-5240

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