Organization
FOUNTAIN IMAGING GROUP,LLC
Active
Other names
FOUNTAIN IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
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
261Q00000X
Clinic/Center
Primary
—
FL
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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