NPI 1003291535
Radiology Associates of Tallahassee PA
Practice location
- Address
- 1300 Miccosukee Rd, Tallahassee, FL 32308-5054
- Phone
- (850) 431-1155
- Mailing address
- PO Box 1678, Tallahassee, FL 32302-1678
Authorised official
- Name
- John R Detelich
- Title
- Ceo
- Phone
- (850) 878-4127
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1003291535
- Entity type
- Organization
- NPI issued
- 27 Jul 2015
- Record last updated
- 27 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.