OrganizationActive
Medical Diagnostic Center of Jacksonville
NPI 1164592218 · Diagnostic Radiology Physician · Jacksonville, FL
Provider details
- NPI number
- 1164592218
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicolau Sacaquini, Business Director(904) 731-1556
- License
- HCC5331 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 Bishop Estates Rd
Jacksonville, FL 32259-4244
Phone: (904) 287-6263
Fax: (904) 287-6213
Street-level locationGet directions
Mailing address
Po Box 5606
Jacksonville, FL 32247-5606
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.