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

Medical Diagnostic Center of Jacksonville

Organization Diagnostic Radiology Physician · NPI 1730259896

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
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Practice location Address checks out

1454 Prudential Dr
Jacksonville, FL 32207-8132
Phone: (904) 493-2122
Fax: (904) 493-2125
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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 · Licence HCC5333 (FL)

Record details

NPI number1730259896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolau Sacaquini — Business Director · (904) 731-1556
Other names Southbank Imaging Service
NPI enumeratedNovember 8, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 5606, Jacksonville, FL 32247-5606

Other providers in Jacksonville