Organization
FOUNTAIN IMAGING OF WEST PALM BEACH
Active
Other names
FOUNTAIN IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LYNN HEBERT (ADMINISTRATOR)
(561) 688-7309
Entity
Organization
Contact information
Practice address
5841 CORPORATE WAY, SUITE #101, WEST PALM BEACH, FL 33407-2039
(561) 688-7309
(561) 688-7310
Mailing address
5841 CORPORATE WAY, SUITE #101, WEST PALM BEACH, FL 33407-2039
(561) 688-7309
(561) 688-7310
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
HCC4508
FL
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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