FORT WALTON OPEN RADIOLOGY PLLC NPI 1710522602

NPI Information

FORT WALTON OPEN RADIOLOGY, PLLC is a diagnostic radiology radiology in Fort Walton Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FORT WALTON OPEN RADIOLOGY, PLLC NPI is 1710522602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

908 MAR WALT DR
FORT WALTON BEACH, FL
ZIP 32547-706
Phone: (850) 862-9394

The provider's authorized official is Ross W Barnett .
The authorized official title is Owner and has the following contact phone number (850) 862-9394.

The CLIA number assigned to this NPI record is 10D0271506 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/14/2019 and was last updated on 11/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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