# A1A IMAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154653566
- **Authorized official:** DR. NIKORN ARUNAKUL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (786) 316-3744

## Contact information

- **Practice address:** 1421 SW 107TH AVE \# 136, MIAMI, FL 33174-2526
- **Practice address phone:** (786) 316-3744
- **Mailing address:** 1421 SW 107TH AVE \# 136, MIAMI, FL 33174-2526
- **Mailing address phone:** (786) 316-3744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2010
- **Last updated:** 02/10/2010