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Organization

TALLAHASSEE DIAGNOSTIC IMAGING CENTER, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN R DETELICH (CEO)
(850) 878-4127
Entity
Organization

Contact information

Practice address
2459 MAHAN DR, TALLAHASSEE, FL 32308-2307
(850) 878-4127
Mailing address
PO BOX 21348, TAMPA, FL 33622-1348
(800) 475-6112

Taxonomy

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

Other

Enumeration date
02/24/2022
Last updated
02/24/2022
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