FOUNTAIN IMAGING GROUP,LLC (NPI# 1154487668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154487668 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN IMAGING GROUP,LLC |
| Other Organization Name | FOUNTAIN IMAGING |
| Practice Address |
1 Ne 167th St North Miami Beach FL 33162-3402 |
| Practice Telephone | 3057704343 |
| Practice Fax Number | 3057704373 |
| Mailing Telephone | 3057704343 |
| Mailing Fax Number | 3057704373 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTI LYNN HEBERT (ADMINISTRATOR) |
| Authorized Official Telephone | 3057704343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FOUNTAIN IMAGING | Other Name - Individual/Organization |
| Street Address |
1 NE 167TH ST |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868903 | Vicente A Rodriguez | General Practice | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2006-09-07 |
| 1346659828 | Glades Medical Centers, L.l.c | Clinic/Center | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2014-08-08 |
| 1184034241 | Epic Medical Centers | Internal Medicine | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2014-04-29 |
| 1881865079 | Diagnostic Service Center of North Miami Beach LLC | Clinic/Center | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2008-03-17 |
| 1457417156 | Fountain Imaging of North Miami Beach,llc | Clinic/Center | 1 Ne 167th St, North Miami Beach, FL 33162-3402 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336515451 | Universal Medical Group of North Miami Beach Inc | Clinic/Center | 17064 West Dixie Highway, Suite 17064/17068, North Miami Beach, FL 33160 | 2015-08-12 |
| 1689068983 | Gst Natural Herbs and Acupuncture Center | Clinic/Center | 317 Ne 167th St, North Miami Beach, FL 33162-2304 | 2015-03-24 |
| 1992107619 | Sunshine Comprehensive Healthcare | Clinic/Center | 99 Ne 166th St, North Miami Beach, FL 33162-3439 | 2014-09-24 |
| 1659504199 | Selest Health Center, Inc | Clinic/Center | 16601 Ne 6th Ave, North Miami Beach, FL 33162-3607 | 2009-09-01 |
| 1508418070 | Solera Health Systems | Clinic/Center | 1850 Ne 163rd St, North Miami Beach, FL 33162-4867 | 2019-07-15 |
| 1114494788 | Speech and Language Center of South Florida, LLC | Clinic/Center | 19360 Ne 22nd Rd, North Miami Beach, FL 33179-3619 | 2018-10-31 |
| 1972092682 | Trinity Psychiatric Services LLC | Clinic/Center | 115 Nw 167th St Fl 2, North Miami Beach, FL 33169-6052 | 2018-05-08 |
| 1639551385 | Biscyane Chiropractic Rehabilitation Center | Clinic/Center | 15921 Biscayne Blvd, North Miami Beach, FL 33160-4611 | 2015-06-18 |
| 1700279114 | Oasis Family Practice | Clinic/Center | 951 Ne 167th St, Suite 102, North Miami Beach, FL 33162-3711 | 2015-03-09 |
| 1588910525 | Balarezo Family Chiropractic LLC | Clinic/Center | 1801 Ne 164th St, North Miami Beach, FL 33162-4109 | 2012-07-27 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
Please comment or provide details below to improve the information on FOUNTAIN IMAGING GROUP,LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.