| Ideal Image | |
|
330 San Lorenzo Ave Coral Gables FL 33146-1846 | |
| (305) 507-3461 | |
| Not Available |
| Full Name | Ideal Image |
|---|---|
| Speciality | Clinic/center |
| Location | 330 San Lorenzo Ave, Coral Gables, Florida |
| Authorized Official Name and Position | Christina Gautier (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 3055073461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Image 330 San Lorenzo Ave Coral Gables FL 33146-1846 Ph: (305) 507-3461 | Ideal Image 330 San Lorenzo Ave Coral Gables FL 33146-1846 Ph: (305) 507-3461 |
| NPI Number | 1609272038 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609272038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ARNP9196713 (Florida) | Primary |
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