Ft Walton Open Mri Llc

NPI 1760435267 - Clinic/Center - 261QR0200X

NPI Details
NPI 1760435267
Enumeration Date 05/18/2006
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH KEITH
Position MANAGER MEMBER
Phone (850) 526-2496
Fax (850) 526-3853
Practice Location
3015 JEFFERSON ST
SUITE E
MARIANNA FL, 32446-2339, US
Phone (850) 526-2496
Fax (850) 526-3853
Business Location
3015 JEFFERSON ST
SUITE E
MARIANNA FL, 32446-2339, US
Phone (850) 526-2496
Fax (850) 526-3853
Toxanomy
Taxonomy Code 261QR0200X
License State Florida
License Number HCC4660
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According to our database, Ft Walton Open Mri Llc NPI is 1760435267, taxonomy code is 261QR0200X and license number is HCC4660, license state is located at Florida. Ft Walton Open Mri Llc physically located at 3015 Jefferson St, Marianna FL, 32446-2339. NPI Number 1033115704 has the healthcare provider type.

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1760435267 NPI number is provided on an as is basis without warranty of any kind. 1760435267 is maintained by the National Plan & Provider Enumeration System. The contents of Ft Walton Open Mri Llc are for informational purposes only.