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Fort Walton Diagnostic Imaging Center LLC

Radiology Clinic/Center in Fort Walton Beach, FL · enumerated 2006 · authorized official Gary Mcmichael, Member.

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

National Provider Identifier

1619920642

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Registry record

Entity type Organization (Type 2)
Legal business name Fort Walton Diagnostic Imaging Center LLC
Practice address 1112 Hospital Rd, Suite C, Fort Walton Beach, FL, 32547
Phone (850) 862-7070
Fax (850) 862-0900
Enumeration date May 19, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License HCC4489 (FL) Secondary
261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities · License HCC4489 (FL) Primary

Authorized official

Name Gary Mcmichael
Title Member
Phone (850) 862-7070

Other identifiers

Identifier Type State Issuer
V2837 Other FL BCBS FL PROVIDER NO.
7732283 Other FL AETNA PROVIDER NO.

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 the NPI number for Fort Walton Diagnostic Imaging Center LLC?
The NPI for Fort Walton Diagnostic Imaging Center LLC is 1619920642, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fort Walton Diagnostic Imaging Center LLC?
NPPES lists Gary Mcmichael (Member) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.