institution
Ft Walton Open Mri Llc
Radiology Clinic/Center in Marianna, Florida
NPI 1760435267

Ft Walton Open Mri Llc is a Radiology Clinic/Center based in Marianna, FL and is specialized in Radiology. Ft Walton Open Mri Llc practices in Marianna, FL. The NPI Number for Ft Walton Open Mri Llc is 1760435267 and holds a License No. HCC4660 (Florida).

The current practice location address for Ft Walton Open Mri Llc is 3015 Jefferson St, Marianna, FL and can be reached out via phone at 850-526-2496 and via fax at 850-526-3853. You can also correspond with Ft Walton Open Mri Llc through the mailing address at 3015 JEFFERSON ST, MARIANNA, FL - 32446-2339 (mailing address contact number: 850-526-2496).

Location: 3015 Jefferson St, Marianna, FL, 32446-2339
institution
Provider Profile Details
NPI Number
1760435267
Provider Name
Ft Walton Open Mri Llc
Credential
Provider Entity Type
Organization
Address
3015 Jefferson St, Marianna, FL, 32446-2339
Phone Number
850-526-2496
Fax Number
850-526-3853
Provider Enumeration Date
05/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
V2838 01 FL BCBS FL PROVIDER NO.
7010185 01 FL AETNA PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
3015 Jefferson St
City
State
Zip
32446-2339
Phone Number
850-526-2496
Fax Number
850-526-3853
person
Provider Business Mailing Address Details
Address
3015 Jefferson St
City
State
Zip
32446-2339
Phone Number
850-526-2496
Fax Number
850-526-3853
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
HCC4660 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
HCC4660 (Florida)
Definition
Definition to come...
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