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NPI Code Detail

MEDICARE: WEST FLORIDA RADIOLOGY ASSOCIATES PA

MEDICARE: WEST FLORIDA RADIOLOGY ASSOCIATES PA
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
12085R0202XDiagnostic Radiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396724654
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST FLORIDA RADIOLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 6478 HIGHWAY 90 STE D
Second Line :
City : MILTON
State : FL
Zip : 32570-4560
Country : US
Telephone Number : 850-564-1030
Fax Number : 850-564-1039
Provider Business Practice Location Address
First Line : 6002 BERRYHILL RD
Second Line :
City : MILTON
State : FL
Zip : 32570-5062
Country : US
Telephone Number : 850-626-7762
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : DANILLE ALECIA ESPY
Credential :
Telephone Number : 850-646-9942
Provider Enumeration Date : 01/13/2006
Last Update Date : 11/13/2025

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Directions to “WEST FLORIDA RADIOLOGY ASSOCIATES PA ” Practice Location

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