| Ideal Image | |
|
1485 Pine Ridge Rd Naples FL 34109-2114 | |
| (239) 596-2005 | |
| (239) 596-1090 |
| Full Name | Ideal Image |
|---|---|
| Speciality | Clinic/center |
| Location | 1485 Pine Ridge Rd, Naples, Florida |
| Authorized Official Name and Position | Emily Laeser (NURSE PRACTITIONER) |
| Authorized Official Contact | 2395962005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Image 1485 Pine Ridge Rd Naples FL 34109-2114 Ph: (239) 596-2005 | Ideal Image 1485 Pine Ridge Rd Naples FL 34109-2114 Ph: (239) 596-2005 |
| NPI Number | 1083008437 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083008437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9286385 (Florida) | Primary |
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