NPIMap

Organization Active NPI

Navarre Open MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Walton Beach, FL
National Provider Identifier
1497958466
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NAVARRE OPEN MRI LLC
Practice address
1112 Hospital Rd
Suite B
Fort Walton Beach, FL 32547-6742
Phone
(850) 862-7070
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Keith Freudenberger
Title
Managing Member
Phone
(850) 862-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

1112 Hospital Rd
Suite B
Fort Walton Beach, FL 32547-6742

Mailing address

7552 Navarre Pkwy
Suite 29
Navarre, FL 32566-7305
Phone (850) 936-0911

National Provider Directory

National Provider Directory

Locations

1112 Hospital Rd
Ste B
Ft Walton Bch, FL 32547
Phone (850) 526-2496

7552 Navarre Pkwy
Unit 29
Navarre, FL 32566
Phone (850) 936-0911

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497958466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "address_2": "SUITE 29",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "850-936-0911",
            "fax_number": "850-936-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 HOSPITAL RD",
            "address_2": "SUITE B",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476742",
            "telephone_number": "850-862-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVARRE OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREUDENBERGER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-862-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.