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Radiology Associates of Tallahassee PA

Diagnostic Radiology Physician in Tallahassee, FL · enumerated 2015 · authorized official John Detelich, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003291535

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Registry record

Entity type Organization (Type 2)
Legal business name Radiology Associates of Tallahassee PA
Practice address 1300 Miccosukee Rd, Tallahassee, FL, 32308
Enumeration date Jul 27, 2015
Last updated in NPPES Jul 27, 2015

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Detelich
Title Ceo

Other identifiers

Identifier Type State Issuer
053297501 Medicaid FL -
053297505 Medicaid FL -
00060 Other FL BLUE CROSS OF FLORIDA
053297504 Medicaid FL -
300037169A Medicaid GA -
CA6404 Other FL RR MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Radiology Associates of Tallahassee PA?
Radiology Associates of Tallahassee PA is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-27.