FT WALTON OPEN MRI LLC
NPI 1992757678
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fort Walton Beach, FL

Active since May 17, 2006
1112 HOSPITAL RD, SUITE B, FORT WALTON BEACH, FL 32547(850) 862-7070(850) 862-0900 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ft Walton Open Mri Llc NPPES

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

FT WALTON OPEN MRI LLC (NPI 1992757678) is a healthcare organization registered as a magnetic resonance imaging (mri) in Fort Walton Beach, Florida and active in the NPI registry since May 2006. The organization lists Keith Freudenberger, Manager Member, as its authorized official.

NPPES Registry Identity

NPI1992757678
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameFT WALTON OPEN MRI LLC
Location Address1112 HOSPITAL RD, SUITE BFort Walton Beach, FL 32547-6742
Mailing Address1112 Hospital Rd, Suite BFort Walton Beach, FL 32547-6742 · (850) 862-7070 · Fax (850) 862-0900
Fax(850) 862-0900
Organization SubpartNo
Authorized OfficialKeith FreudenbergerManager Member · (850) 862-7070
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 17, 2008
NPI 1992757678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
License Licensed in FL · HCC4491
1112 HOSPITAL RD, Fort Walton Beach, FL 32547

Other Identifiers 3

OtherV2836FL · Bcbs Fl Provider No.
Medicare ID-Type UnspecifiedE4857FL · Medicare Provider No.
Other7010185FL · Aetna Provider No.

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.

Urology
1112 HOSPITAL RD, UNIT A
FORT WALTON BEACH, FL 32547
Clinic/Center (Magnetic Resonance Imaging (MRI))
1112 HOSPITAL RD, SUITE B
FORT WALTON BEACH, FL 32547
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1112 HOSPITAL RD
FORT WALTON BEACH, FL 32547
Clinic/Center (Radiology)
1112 HOSPITAL RD, SUITE C
FORT WALTON BEACH, FL 32547

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 Ft Walton Open Mri LLC's NPI number?

The NPI number for Ft Walton Open Mri LLC is 1992757678. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Ft Walton Open Mri LLC located?

Ft Walton Open Mri LLC is located at 1112 Hospital Rd Suite B, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-7070.

What is Ft Walton Open Mri LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

When was this NPI record last updated?

The NPPES record for Ft Walton Open Mri LLC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.