FORT WALTON DIAGNOSTIC IMAGING CENTER LLC
Radiology at Hospital Rd, Fort Walton Beach, FL

License number
Florida HCC4489
Category
Ambulatory Health
Type
Multi-Specialty
License number
Florida HCC4489
Category
Ambulatory Health
Type
Radiology
Owner
Name: GARY MCMICHAEL
Title: MEMBER
Phone: (850) 862-7070
Address
Address
1112 Hospital Rd SUITE C, Fort Walton Beach, FL 32547
National Provider ID: 1619920642
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FORT WALTON DIAGNOSTIC IMAGING CENTER LLC at bizstanding.com

Fort Walton Diagnostic Imaging Center, LLC

1112 Hospital Rd, Fort Walton Beach, FL 32547

Status:
Inactive
Registration:
Feb 2, 2001
State ID:
L01000001819
Business type:
Florida Limited Liability
Managing Members:
Gary W. Mcmichael Managing Member, inactive,Kalliope Zachos Managing Member, inactive

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