PREVENTIVE HEALTHCARE SERVICES – NPI #1578362729
Radiology

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

PREVENTIVE HEALTHCARE SERVICES is a radiologist located in PALM COAST, FL. NPPES has assigned the NPI number 1578362729 to PREVENTIVE HEALTHCARE SERVICES on March 11, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085U0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Ultrasound

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREVENTIVE HEALTHCARE SERVICES below.

NPI Profile for
PREVENTIVE HEALTHCARE SERVICES

NPI Number
1578362729
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREVENTIVE HEALTHCARE SERVICES
Primary location
50 LEANNI WAY UNIT A5
PALM COAST, FL 32137-4753
Phone: (386) 585-4003 Fax: (386) 597-7493
Mailing address
PO BOX 354733
PALM COAST, FL 32135-4733
Phone: (386) 585-4003 Fax: (386) 597-7493
Organization Subpart
No
Authorized Official
BILLIE JONES
CEO
Phone: (386) 585-4003
Updated
Certification Date
Mar 11, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085U0001X
- Radiology / Diagnostic Ultrasound (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.