IDEAL IMAGE NPI 1871985853

NPI Information

NPI: 1871985853
Provider Name: IDEAL IMAGE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
330 SAN LORENZO AVE
2345
CORAL GABLES, FL
ZIP 33146
Phone: (305) 507-3461
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IDEAL IMAGE is a health service clinic center in Coral Gables, FL. IDEAL IMAGE NPI is 1871985853. The provider is registered as an organization entity type.

The provider's business location address is:

330 SAN LORENZO AVE
2345
CORAL GABLES, FL
ZIP 33146-846
Phone: (305) 507-3461
Fax: (305) 774-6624

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

The enumeration date for this NPI number is 2/27/2015 and was last updated on 2/27/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	9196713	FLORIDA	Yes

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

NPI Synchronization or Removal

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