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General NPI Number Information
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NPI Number | 1396724654
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Entity Type | Organization
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Legal Business Name | WEST FLORIDA RADIOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-626-7762
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Fax |
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Provider Business Mailing Address
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Address Line | 6478 HIGHWAY 90 STE D
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City | MILTON
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State | FL
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Zip | 32570-4560
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Country | US
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Telephone | 850-564-1030
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Fax | 850-564-1039
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DANILLE ALECIA ESPY
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Credential |
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Telephone | 850-646-9942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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