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FOUNTAIN IMAGING OF PLANTATION NPI 1881750529


NPI Information

NPI: 1881750529
Provider Name: FOUNTAIN IMAGING OF PLANTATION

Doing Business As: FOUNTAIN IMAGING

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
301 NW 84TH AVE
SUITE #100
PLANTATION, FL
ZIP 33324
Phone: (954) 888-1816
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FOUNTAIN IMAGING OF PLANTATION is a magnetic resonance imaging (mri) clinic center in Plantation, FL. FOUNTAIN IMAGING OF PLANTATION NPI is 1881750529. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain Imaging.

The provider's business location address is:

301 NW 84TH AVE
SUITE #100
PLANTATION, FL
ZIP 33324-807
Phone: (954) 888-1816
Fax: (954) 476-5238

The provider's authorized official is Kristi Lynn Hebert .
The authorized official title is Administrator and has the following contact phone number (954) 888-1816.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)HCC4211FLORIDAYes

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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