Organization Name: | NASSAU OPEN MRI LLC |
NPI Number: | 1235108259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER O HOLLIDAY (DIRECTOR) |
Mailing Address: | 1699 South 14th Street Suite 16 Fernandina Beach |
State: | FL US |
Postal Code: | 32034 |
Phone Number: | 9044917700 |
Fax Number: | 9044917701 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |