Organization
IMAGING INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T O'DONNELL DMD (MEDICAL DIRECTOR)
(850) 622-5888
Entity
Organization
Contact information
Practice address
6757 US HWY 98 W STE 301, SANTA ROSA BEACH, FL 32459
(850) 622-5888
(850) 622-0072
Mailing address
6757 US HWY 98 W STE 301, SANTA ROSA BEACH, FL 32459
(850) 622-5888
(850) 622-0072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DN16800
FL
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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