institution
Fort Walton Diagnostic Imaging Center Llc
Radiology Clinic/Center in Fort Walton Beach, Florida
NPI 1619920642

Fort Walton Diagnostic Imaging Center Llc is a Radiology Clinic/Center based in Fort Walton Beach, FL and is specialized in Radiology. Fort Walton Diagnostic Imaging Center Llc practices in Fort Walton Beach, FL. The NPI Number for Fort Walton Diagnostic Imaging Center Llc is 1619920642 and holds a License No. HCC4489 (Florida).

The current practice location address for Fort Walton Diagnostic Imaging Center Llc is 1112 Hospital Rd, Fort Walton Beach, FL and can be reached out via phone at 850-862-7070 and via fax at 850-862-0900.

Location: 1112 Hospital Rd, Fort Walton Beach, FL, 32547-6742
institution
Provider Profile Details
NPI Number
1619920642
Provider Name
Fort Walton Diagnostic Imaging Center Llc
Credential
Provider Entity Type
Organization
Address
1112 Hospital Rd, Fort Walton Beach, FL, 32547-6742
Phone Number
850-862-7070
Fax Number
850-862-0900
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2837 01 FL BCBS FL PROVIDER NO.
7732283 01 FL AETNA PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
1112 Hospital Rd
City
State
Zip
32547-6742
Phone Number
850-862-7070
Fax Number
850-862-0900
person
Provider Business Mailing Address Details
Address
1112 Hospital Rd
City
State
Zip
32547-6742
Phone Number
850-862-7070
Fax Number
850-862-0900
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
HCC4489 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
HCC4489 (Florida)
Definition
Definition to come...
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