Organization
RADIOLOGY ASSOCIATES OF TALLAHASSEE, PA
Active
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
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(800) 475-6112
Mailing address
PO BOX 20747, TAMPA, FL 33622-0747
(800) 475-6112
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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