NPI 1003478827

Physician Group Holdings, LLC

Organisation Vascular & Interventional Radiology Physician Jacksonville, FL

Practice location

Address: 10210 San Jose Blvd STE 4, Jacksonville, FL 32257-6271
Phone: (904) 990-8484
Fax: (904) 990-8485

Authorised official

Name: Megan Elizabeth Deacon-Casey
Title: Medical Director
Phone: (904) 990-8484

Registered specialties

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

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Registry record

NPI: 1003478827
Entity type: Organization
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.