NPI: 1376863977
Provider Name: ST. JOHNS VEIN CENTER, INC.
Former Legal Business Name: ANCIENT CITY VEIN & VASCULAR, INC
Classification: Radiology - 2085R0204X
Entity Type: Organization
Specialization: Vascular & Interventional Radiology
Address:
8767 PERIMETER PARK BLVD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 402-8346
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ST. JOHNS VEIN CENTER, INC. is a vascular and interventional radiology radiology in Jacksonville, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. ST. JOHNS VEIN CENTER, INC. NPI is 1376863977. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ancient City Vein & Vascular, Inc.
The provider's business location address is:
8767 PERIMETER PARK BLVD
JACKSONVILLE, FL
ZIP 32216-479
Phone: (904) 402-8346
Fax: (904) 402-8347
The provider's authorized official is James St. George .
The authorized official title is Ceo and has the following contact phone number (904) 402-8346.
The enumeration date for this NPI number is 6/4/2010 and was last updated on 9/9/2020.