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Breast Clinic Inc

Diagnostic Radiology Physician in Ft Walton Beach, FL · enumerated 2006 · authorized official Sandra Hanson, Medical Director.

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

National Provider Identifier

1558337766

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Registry record

Entity type Organization (Type 2)
Legal business name Breast Clinic Inc
Practice address 918 Mar Walt Dr, Ft Walton Beach, FL, 32547
Enumeration date Feb 27, 2006
Last updated in NPPES Oct 28, 2011

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Sandra Hanson
Title Medical Director

Other identifiers

Identifier Type State Issuer
D08079 Other - RAILROAD MEDICARE PIN

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 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.
What type of organization is Breast Clinic Inc?
Breast Clinic Inc is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-10-28.