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

Fort Walton Diagnostic Imaging Center LLC

Organization Multi-Specialty Clinic/Center · NPI 1619920642

Fort Walton Diagnostic Imaging Center LLC is a Multi-Specialty Clinic/Center in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1112 Hospital Rd Ste C
Fort Walton Beach, FL 32547-6742
Phone: (850) 862-7070
Fax: (850) 862-0900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence HCC4489 (FL)
Multi-Specialty Clinic/Center Taxonomy 261QM1300X · Licence HCC4489 (FL)

Record details

NPI number1619920642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary McMichael — Member · (850) 862-7070
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1112 Hospital Rd, Suite C, Fort Walton Beach, FL 32547-6742

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