Organization
SOUTHEAST RADIOLOGY PARTNERS LTD
Active
Other names
Radiology Associates of Tallahassee
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DETELICH (CEO)
(706) 653-1102
Entity
Organization
Contact information
Practice address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
04/08/2022
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