FT WALTON OPEN MRI LLC

MARIANNA, FL
NPI1760435267
Doing Business AsAIRIS OPEN MRI OF MARIANNA
Entity TypeOrganization
Authorized ContactKEITH FREUDENBERGER
Manager Member
850-862-7070
Organization Subpart ?No
Primary Taxonomy261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)
(Licence: FL  HCC4660)
Additional Taxonomies261QR0200X Clinic/Center, Radiology
(Licence: FL  HCC4660)
Enumeration Date2006-05-18
Last Update Date2008-06-17
Business Address
FT WALTON OPEN MRI LLC
3015 JEFFERSON ST SUITE E
MARIANNA, FL 32446-2339
Phone number: 850-526-2496
Mailing Address
FT WALTON OPEN MRI LLC
3015 JEFFERSON ST SUITE E
MARIANNA, FL 32446-2339
Phone number: 850-526-2496