Fountain Imaging Of Pembroke Pines,llc

NPI 1114083847 - Clinic/Center - 261QM1200X

NPI Details
NPI 1114083847
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KRISTI LYNN KRISTI
Position ADMINISTRATOR
Phone (954) 983-4266
Fax (954) 983-4233
Practice Location
2221 N UNIVERSITY DR
SUITE A
PEMBROKE PINES FL, 33024-3603, US
Phone (954) 983-4266
Fax (954) 983-4233
Business Location
2221 N UNIVERSITY DR
SUITE A
PEMBROKE PINES FL, 33024-3603, US
Phone (954) 983-4266
Fax (954) 983-4233
Toxanomy
Taxonomy Code 261QM1200X
License State Florida
License Number HCC7166
Remove 1114083847 NPI Number
 

According to our database, Fountain Imaging Of Pembroke Pines,llc NPI is 1114083847, taxonomy code is 261QM1200X and license number is HCC7166, license state is located at Florida. Fountain Imaging Of Pembroke Pines,llc physically located at 2221 N University Dr, Pembroke Pines FL, 33024-3603. NPI Number 1033115704 has the healthcare provider type.

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1114083847 NPI number is provided on an as is basis without warranty of any kind. 1114083847 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Imaging Of Pembroke Pines,llc are for informational purposes only.