Organization
GULF COAST HEALTH SYSTEM IMAGING, LLC
Active
Other names
Optimal Imaging Sacred Heart Health System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN DOUGLAS BROWN JD (GENERAL COUNSEL)
(615) 974-1972
Entity
Organization
Contact information
Practice address
4033 GULF BREEZE PARKWAY, GULF BREEZE, FL 32561
(615) 974-1972
Mailing address
1642 WESTGATE CIR STE 202, BRENTWOOD, TN 37027-8195
(615) 974-1972
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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