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

Medical Diagnostic Center of Jacksonville

Organization Diagnostic Radiology Physician · NPI 1164592218

Medical Diagnostic Center of Jacksonville is a Diagnostic Radiology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

1400 Bishop Estates Rd
Jacksonville, FL 32259-4244
Phone: (904) 287-6263
Fax: (904) 287-6213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence HCC5331 (FL)

Record details

NPI number1164592218
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolau Sacaquini — Business Director · (904) 731-1556
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5606, Jacksonville, FL 32247-5606

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