Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Medical Diagnostic Center of Jacksonville

Organization Diagnostic Radiology Physician · NPI 1356331326

Medical Diagnostic Center of Jacksonville provides Diagnostic Radiology Physician services in Jacksonville, Florida. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

3550 University Blvd S Ste 102
Jacksonville, FL 32216-4246
Phone: (904) 731-7296
Fax: (904) 636-9875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1356331326
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolau Sacaquini — Business Director · (904) 731-1556
Other names Southbank Imaging Services
NPI enumeratedOctober 21, 2005
Last updated in NPPESAugust 22, 2020
Mailing address3550 University Blvd S, Ste 102, Jacksonville, FL 32216-4246

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