Breast Clinic INC
NPI #1558337766 in Ft Walton Beach, Florida
Provider Information
- NPI Number
- 1558337766
- Entity Type
- Organization
- Organization Name
- Breast Clinic INC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Oct 28, 2011
Practice Location
- Address
- 918 MAR WALT DR
- City
- Ft Walton Beach
- State
- Florida
- ZIP Code
- 32547-6706
- Phone
- (850) 863-2006
Authorized Official
- Name
- SANDRA LEE HANSON, M.D
- Title
- MEDICAL DIRECTOR
- Phone
- (850) 863-2006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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