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IDEAL IMAGE NPI 1609272038


NPI Information

NPI: 1609272038
Provider Name: IDEAL IMAGE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
330 SAN LORENZO AVE
CORAL GABLES, FL
ZIP 33146
Phone: (305) 507-3461
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IDEAL IMAGE is a clinic center in Coral Gables, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). IDEAL IMAGE NPI is 1609272038. The provider is registered as an organization entity type.

The provider's business location address is:

330 SAN LORENZO AVE
CORAL GABLES, FL
ZIP 33146-846
Phone: (305) 507-3461

The provider's authorized official is Christina Gautier .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (305) 507-3461.

The enumeration date for this NPI number is 11/12/2014 and was last updated on 11/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterARNP9196713FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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