| Fountain Imaging | |
|
1 Ne 167th St North Miami Beach FL 33162-3402 | |
| (305) 770-4343 | |
| (305) 770-4373 |
| Full Name | Fountain Imaging |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Ne 167th St, North Miami Beach, Florida |
| Authorized Official Name and Position | Kristi Lynn Hebert (ADMINISTRATOR) |
| Authorized Official Contact | 3057704343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Imaging 1 Ne 167th St North Miami Beach FL 33162-3402 Ph: (305) 770-4343 | Fountain Imaging 1 Ne 167th St North Miami Beach FL 33162-3402 Ph: (305) 770-4343 |
| NPI Number | 1154487668 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154487668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
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