Organization
FLORIDA DIAGNOSTIC IMAGING CENTER
Active
Other names
Florida Diagnostic Imaging Mobile MRI Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J SCHAEFER (COO)
(770) 300-0101
Entity
Organization
Contact information
Practice address
908 MAR WALT DR, FORT WALTON BEACH, FL 32547-6706
(850) 862-9394
(850) 862-8533
Mailing address
3480 PRESTON RIDGE RD, SUITE 600, ALPHARETTA, GA 30005-2028
(770) 300-0101
(770) 300-0429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2705
BCBS
FL
Enumeration date
10/23/2006
Last updated
04/18/2008
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