Organization
IDEAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTON KENT M.D (MEDICAL DIRECTOR IDEAL IMAGE)
(239) 514-7888
Entity
Organization
Contact information
Practice address
1485 PINE RIDGE ROAD UNIT #1, NAPLES, FL 34109
(239) 596-2005
(239) 596-1090
Mailing address
1485 PINE RIDGE RD, NAPLES, FL 34109-2114
(239) 596-2005
(239) 596-1090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3063932
FL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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