Organization
SUNCOAST OPEN MRI LLC
Active
Other names
Suncoast Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER O HOLLIDAY III MD (PRESIDENT)
(478) 314-5013
Entity
Organization
Contact information
Practice address
511 E 23RD ST, PANAMA CITY, FL 32405-5307
(850) 747-8822
(850) 747-8664
Mailing address
PO BOX 4003, MACON, GA 31208-4003
(478) 314-5009
(478) 755-9964
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274676000
—
FL
Enumeration date
03/21/2006
Last updated
02/24/2026
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