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Organization
FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC
Active
Organization
FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC
Active
Other names
FOUNTAIN IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTI LYNN HEBERT (ADMINISTRATOR)
(305) 770-4343
Entity
Organization
Contact information
Practice address
1 NE 167TH ST, NORTH MIAMI BEACH, FL 33162-3402
(305) 770-4343
(305) 770-4373
Mailing address
1 NE 167TH ST, NORTH MIAMI BEACH, FL 33162-3402
(305) 770-4343
(305) 770-4373
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC7170
FL
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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