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BREAST CLINIC INC
NPI 1558337766
Radiology - Diagnostic Radiology in Ft Walton Beach, FL

Active since February 27, 2006
918 MAR WALT DR, FT WALTON BEACH, FL 32547(850) 863-2006 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breast Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREAST CLINIC INC (NPI 1558337766) is a healthcare organization registered as a diagnostic radiology in Ft Walton Beach, Florida and active in the NPI registry since February 2006. The organization lists Sandra Lee Hanson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1558337766
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBREAST CLINIC INC
Location Address918 MAR WALT DRFt Walton Beach, FL 32547-6706
Mailing Address918 Mar Walt DrFt Walton Beach, FL 32547-6706 · (850) 863-2006
Phone(850) 863-2006
Organization SubpartNo
Authorized OfficialSandra Lee HansonMedical Director · (850) 863-2006
Enumeration DateFebruary 27, 2006
Last NPPES UpdateOctober 28, 2011
✔ NPI 1558337766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
918 MAR WALT DR, Ft Walton Beach, FL 32547
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Other Identifiers 3

Medicare PIN72440
OtherD08079Railroad Medicare Pin
Medicare UPIND62484

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GULF COAST PAIN CONSULTANTS LLC
Durable Medical Equipment & Medical Supplies
918 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (855) 527-7246
SANDRA LEE HANSON M.D.
Surgery
918 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-3127
JULIA A SANDWITH PA
Physician Assistant
918 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-2006
ELEANOR A. MCCAIN, M. D., P. A.
Internal Medicine
918 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breast Clinic Inc's NPI number?

The NPI number for Breast Clinic Inc is 1558337766. It was assigned to this organization in the NPPES registry on February 27, 2006.

Where is Breast Clinic Inc located?

Breast Clinic Inc is located at 918 Mar Walt Dr, Ft Walton Beach, FL 32547. The listed phone number is (850) 863-2006.

What is Breast Clinic Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Breast Clinic Inc was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.