Active NPI
Imaging Center at Forbes LLC
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME59554
- Legal business name
- IMAGING CENTER AT FORBES LLC
- Practice address
- 2345 Forbes St
Jacksonville, FL 32204-4311 - Phone
- (904) 391-1600
- Fax
- (904) 391-1604
- NPI assigned
- Dec 19, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edel Edward Franco, MD
- Title
- Medical Director
- Phone
- (904) 391-1600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME59554 | FL | Primary |
Addresses
Primary practice location
2345 Forbes St
Jacksonville, FL 32204-4311
Mailing address
2345 Forbes St
Jacksonville, FL 32204-4311
Phone (904) 391-1600
National Provider Directory
National Provider DirectoryLocations
2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1770668725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093878225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 FORBES ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044311",
"telephone_number": "904-391-1600",
"fax_number": "904-391-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 FORBES ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044311",
"telephone_number": "904-391-1600",
"fax_number": "904-391-1604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGING CENTER AT FORBES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRANCO",
"authorized_official_first_name": "EDEL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "904-391-1600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME59554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.