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Organization

DESTIN REGIONAL IMAGING CENTER LLC

Active
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Organization

DESTIN REGIONAL IMAGING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHUN W CHEN MD (AUTHORIZED OFFICIAL)
(850) 278-3555
Entity
Organization

Contact information

Practice address
7800 US HIGHWAY 98 W, MIRAMAR BEACH, FL 32550-7228
(850) 278-3555
(850) 278-3562
Mailing address
PO BOX 1977, INDIANAPOLIS, IN 46206-1977
(855) 410-3201
(855) 853-5098

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME86615
FL
2085R0202X
Diagnostic Radiology Physician
ME89464
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME74820
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272337900
FL
Enumeration date
09/29/2005
Last updated
05/27/2022
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