| Organization Name: | DESTIN REGIONAL IMAGING CENTER LLC |
| NPI Number: | 1134116726 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES P STROBLE (OWNER) |
| Mailing Address: | 7800 Us Highway 98 W Miramar Beach |
| State: | FL US |
| Postal Code: | 325507228 |
| Phone Number: | 8502783555 |
| Fax Number: | 8502783562 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | ME89464 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |