MEDICARE: FLORIDA DIAGNOSTIC IMAGING CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0208X	Mobile Radiology Clinic/Center

General Provider Information

NPI Number	:	1578210886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DIAGNOSTIC IMAGING CENTER INC

Provider Business Mailing Address
First Line	:	3024 BUSINESS PARK CIR
Second Line	:
City	:	GOODLETTSVILLE
State	:	TN
Zip	:	37072-3132
Country	:	US
Telephone Number	:	615-854-3409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4414
Country	:	US
Telephone Number	:	850-873-6900
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING DIRECTOR
Name	:	SUSAN FENTON
Credential	:
Telephone Number	:	615-854-3409

Provider Enumeration Date	:	03/07/2022
Last Update Date	:	03/07/2022

Similar Medicare Providers

1225096936 — FLORIDA DIAGNOSTIC IMAGING CENTER INC
Practice Location Address:

2525 MARTIN LUTHER KING JR. BLVD
PANAMA CITY, FL
32405-4414

Practice Phone: 850-873-6900
Practice Fax: 850-873-6902

1033212576 — DR. JOHN RANDOLPH CONNER JR. DDS
Practice Location Address:

1345 E 3900 S , #214
SALT LAKE CITY, UT
84124-4414

Practice Phone: 801-277-2637
Practice Fax: 801-277-2638

1407859242 — DAVID MAX GREGORY M.D.
Practice Location Address:

3435 NW 56TH ST , STE 314
OKLAHOMA CITY, OK
73112-4414

Practice Phone: 405-946-6477
Practice Fax: 405-945-4789

1992781769 — KENNETH J. VINTON D.C.
Practice Location Address:

190 GEORGE JUNIOR RD
GROVE CITY, PA
16127-4414

Practice Phone: 724-458-1100
Practice Fax: 888-561-7937

1083640114 — HY-VEE INC
Practice Location Address:

1720 WATERFRONT DR
IOWA CITY, IA
52240-4414

Practice Phone: 319-354-7121
Practice Fax: 319-354-7025

1942215900 — DR. ELIZABETH PARRO GAWEY M.D.
Practice Location Address:

3435 NW 56TH ST STE 707
OKLAHOMA CITY, OK
73112-4414

Practice Phone: 405-951-8711
Practice Fax: 405-951-8727

Directions to “FLORIDA DIAGNOSTIC IMAGING CENTER INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.