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

Summerlin Imaging Center LLC

Organization Diagnostic Radiology Physician · NPI 1720536154

Summerlin Imaging Center LLC is a Diagnostic Radiology Physician in Orange Park, Florida. Registered with an NPI since 2016.

In the registry since
2016
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

2128 Park Ave
Orange Park, FL 32073
Phone: (904) 375-8884
Fax: (904) 375-8887
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1720536154
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Peters — Cfo · (561) 331-0808
Other names Park Avenue Imaging
NPI enumeratedSeptember 14, 2016
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020
Mailing address6415 Lake Worth Rd Ste 102, Greenacres, FL 33463-3009

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