# SUNCOAST OPEN MRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suncoast Diagnostic Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134188824
- **Authorized official:** DR. PETER O HOLLIDAY III MD (PRESIDENT)
- **Authorized official phone:** (478) 314-5013

## Contact information

- **Practice address:** 511 E 23RD ST, PANAMA CITY, FL 32405-5307
- **Practice address phone:** (850) 747-8822
- **Practice address fax:** (850) 747-8664
- **Mailing address:** PO BOX 4003, MACON, GA 31208-4003
- **Mailing address phone:** (478) 314-5009
- **Mailing address fax:** (478) 755-9964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 09/08/2026