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

Medical Diagnostic Professional Management

Organization Diagnostic Radiology Physician · NPI 1780110411

Medical Diagnostic Professional Management is a Diagnostic Radiology Physician in Jacksonville, Florida. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
3

Practice location Address checks out

8380 Baymeadows Rd Ste 17
Jacksonville, FL 32256-7435
Phone: (904) 440-0998
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Magnetic Resonance Imaging (MRI) Clinic/Center Taxonomy 261QM1200X
Mobile Radiology Clinic/Center Taxonomy 261QR0208X

Record details

NPI number1780110411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Mothersil — Management · (904) 440-0998
Other names Logic Diagnostics Of Jacksonville
NPI enumeratedMay 1, 2017
Last updated in NPPESOctober 26, 2017
Mailing address8380 Baymeadows Rd Ste 17, Jacksonville, FL 32256-7435

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