Organization
PENSACOLA DIAGNOSTIC RADIOGRAPHY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GRIFFIN (OWNER)
(850) 206-7660
Entity
Organization
Contact information
Practice address
4315 SUGAR MILL BND, PACE, FL 32571-8646
(850) 206-7660
(850) 637-8044
Mailing address
4315 SUGAR MILL BND, PACE, FL 32571-8646
(850) 206-7660
(850) 637-8044
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
JR3105700
FL
Other
Enumeration date
05/18/2007
Last updated
10/05/2021
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