Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breast Clinic Inc

Organization Diagnostic Radiology Physician · NPI 1558337766

Breast Clinic Inc is a Diagnostic Radiology Physician in Ft Walton Beach, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

918 Mar Walt Dr
Ft Walton Beach, FL 32547-6706
Phone: (850) 863-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1558337766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Hanson — Medical Director · (850) 863-2006
NPI enumeratedFebruary 27, 2006
Last updated in NPPESOctober 28, 2011
Mailing address918 Mar Walt Dr, Ft Walton Beach, FL 32547-6706

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