PRECISION IMAGING ST. AUGUSTINE, LLC


Address: 1000 Plantation Island Dr S, Suite 1, St Augustine, FL 32080-3100
Phone: 9049968100

PRECISION IMAGING ST. AUGUSTINE, LLC (NPI# 1700130010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700130010
Entity Type Organization
Organization Name PRECISION IMAGING ST. AUGUSTINE, LLC
Practice Address 1000 Plantation Island Dr S
Suite 1
St Augustine
FL 32080-3100
Practice Telephone 9049968100
Practice Fax Number 9049968101
Mailing Telephone 9049968100
Mailing Fax Number 9049968101
Enumeration Date 2012-11-08
Last Update Date 2020-07-21
Authorized Official Name JOSH HAMMOND (CEO)
Authorized Official Telephone 9049968100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 1000 PLANTATION ISLAND DR S
SUITE 1
City ST AUGUSTINE
State FL
Zip Code 32080-3100

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1215456629 Sidney Leigh Thomas Specialist/Technologist 976 Saltwater Circle, St. Augustine, FL 32080 2017-09-18
1285164855 Mary Patricia Pichan Speech-Language Pathologist 2870 Peachtree Rd. #293, Atlanta, GA 32080 2017-06-15
1962947325 Joseph Costine Behavior Technician 205 7th St. Apt.b, St. Augustine, FL 32080 2016-12-21
1437605177 Jenifer Long Social Worker 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 2016-09-01
1205207420 Ana Greenberger Nurse Practitioner 1301 Plantation Island Dr S Ste 401, Saint Augustine, FL 32080 2015-10-14
1598037202 Dana Elizabeth Jones Occupational Therapist 3 Hannah Cole Dr., St. Augustine, FL 32080 2012-01-27
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1306176037 Barros Family Healthcare Pa Clinic/Center 1301 Plantation Island Dr. South 102b, St. Augustine, FL 32080 2009-12-31
1609041995 Tommy D Murphy Specialist 403 Anastasia Blvd., St. Augustine, FL 32080 2008-04-28
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1619500881 Adventhealth West Florida Imaging, Inc. Clinic/Center 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 2020-02-17
1831736768 Bria Group Inc Clinic/Center 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 2019-12-10
1235770686 Clermont Radiology LLC Clinic/Center 18 Ne 1st Ave, Ocala, FL 34470-6658 2019-10-07
1609422146 Dis of Tampa Bay Inc Clinic/Center 3635 W Waters Ave, Tampa, FL 33614-2783 2019-08-12
1245891209 Ohri, LLC Clinic/Center 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 2019-06-21
1417518481 Ohri, LLC Clinic/Center 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 2019-06-21
1093273971 Alfa Diagnostic LLC Clinic/Center 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 2019-03-09
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Competitor

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City ST AUGUSTINE
Zip Code 32080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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