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

Physician Group Holdings, LLC

Organization Vascular & Interventional Radiology Physician · NPI 1003478827

Physician Group Holdings, LLC is a Vascular & Interventional Radiology Physician in Jacksonville, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

10210 San Jose Blvd Ste 4
Jacksonville, FL 32257-6271
Phone: (904) 990-8484
Fax: (904) 990-8485
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1003478827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Deacon-Casey — Medical Director · (904) 990-8484
Other names Ageless Vein Center
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 1, 2019
Mailing address10210 San Jose Blvd Ste 4, Jacksonville, FL 32257-6271

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