Fountain Imaging Group,llc

NPI 1154487668 - Clinic/Center - 261Q00000X

NPI Details
NPI 1154487668
Enumeration Date 12/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KRISTI LYNN KRISTI
Position ADMINISTRATOR
Phone (305) 770-4343
Fax (305) 770-4373
Practice Location
1 NE 167TH ST
NORTH MIAMI BEACH FL, 33162-3402, US
Phone (305) 770-4343
Fax (305) 770-4373
Business Location
1 NE 167TH ST
NORTH MIAMI BEACH FL, 33162-3402, US
Phone (305) 770-4343
Fax (305) 770-4373
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1154487668 NPI Number
 

According to our database, Fountain Imaging Group,llc NPI is 1154487668, taxonomy code is 261Q00000X Fountain Imaging Group,llc physically located at 1 Ne 167th St, North Miami Beach FL, 33162-3402. NPI Number 1033115704 has the healthcare provider type.

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1154487668 NPI number is provided on an as is basis without warranty of any kind. 1154487668 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Imaging Group,llc are for informational purposes only.