Organization
FLORIDA DIAGNOSTIC IMAGING CENTER INC
Active
Other names
Panama City Open MRI & Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING DIRECTOR)
(615) 854-3409
Entity
Organization
Contact information
Practice address
2525 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4414
(850) 873-6900
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 854-3409
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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