Organization
FLORIDA DIAGNOSTIC IMAGING CENTER INC
Active
Other names
Pensacola Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHINTAN DESAI MD (OWNER / PROVIDER)
(850) 484-8454
Entity
Organization
Contact information
Practice address
4511 N DAVIS HWY STE 1-B, PENSACOLA, FL 32503-2720
(850) 484-8454
(850) 484-7754
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
01
—
068972
VISTA MEDICAID
FL
05
—
121982100
—
FL
05
—
262856202
—
FL
01
—
470000877
RAILROAD MEDICARE
FL
01
—
55301
BCBS ALABAMA
FL
01
—
7143079
AETNA
FL
01
—
V2193
BCBS
FL
Enumeration date
05/02/2006
Last updated
05/05/2026
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