Organization Name: | FLORIDA DIAGNOSTIC IMAGING CENTER |
NPI Number: | 1043278831 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J SCHAEFER (COO) |
Mailing Address: | 4536 E Highway 20 Niceville |
State: | FL US |
Postal Code: | 325789755 |
Phone Number: | 8507296747 |
Fax Number: | 8507297279 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |