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Organization

FLORIDA DIAGNOSTIC IMAGING CENTER INC

Active
Other names
Panama City Open MRI & Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
CHINTAN DESAI MD (OWNER / PROVIDER)
(850) 873-6900
Entity
Organization

Contact information

Practice address
2525 MARTIN LUTHER KING JR. BLVD, PANAMA CITY, FL 32405-4414
(850) 873-6900
(850) 873-6902
Mailing address
PO BOX 31003, TAMPA, FL 33631-3003
(727) 823-2188
(727) 828-0723

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121982200
FL
01
2050236
UNITED HEALTHCARE
FL
05
262856200
FL
01
470000877
RR MEDICARE
FL
01
7501697
AETNA
FL
01
SG076081
VISTA SUNRISE
FL
01
V2704
BCBS FLORIDA
FL
Enumeration date
05/02/2006
Last updated
05/05/2026
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