Organization
IDEAL IMAGE OF FLORIDA, LLC
Active
Organization
IDEAL IMAGE OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE M ABASCAL ARNP-C (PROVIDER)
(786) 398-4420
Entity
Organization
Contact information
Practice address
8314 MILLS DR, MIAMI, FL 33183-4806
(786) 398-4420
(786) 353-0844
Mailing address
8314 MILLS DR, MIAMI, FL 33183-4806
(786) 398-4420
(786) 353-0844
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9235462
FL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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