Organization
RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Active
Parent organization
RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
RADIOLOGY ASSOCIATES OF TALLAHASSEE PA
Authorized official
JOHN R DETELICH (CEO)
(850) 878-4127
Entity
Organization
Contact information
Practice address
333 N BYRON BUTLER PKWY, PERRY, FL 32347-2300
(850) 584-0800
Mailing address
P O BOX 20747, TAMPA, FL 33662-0747
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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