Organization
PANHANDLE DIAGNOSTICS LLC
Active
Other names
Panhandle Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY BROOKE MOSS RDMS/RVT (CEO)
(850) 398-0108
Entity
Organization
Contact information
Practice address
502 S MAIN ST, CRESTVIEW, FL 32536-4250
(850) 401-2418
Mailing address
5736 GRIFFITH CEMETERY RD, BAKER, FL 32531-8402
(850) 401-2418
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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