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NASSAU OPEN MRI LLC NPI 1235108259


NPI Information

NPI: 1235108259
Provider Name: NASSAU OPEN MRI LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1699 SOUTH 14TH STREET
SUITE 16
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 491-7700
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NASSAU OPEN MRI LLC is a magnetic resonance imaging (mri) clinic center in Fernandina Beach, FL. NASSAU OPEN MRI LLC NPI is 1235108259. The provider is registered as an organization entity type.

The provider's business location address is:

1699 SOUTH 14TH STREET
SUITE 16
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 491-7700
Fax: (904) 491-7701

The provider's authorized official is Peter O Holliday .
The authorized official title is Director and has the following contact phone number (478) 474-2360.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1V2799OTHERFLORIDABCBS
2U2018MEDICARE PINFLORIDA
3P00179687MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.