IDEAL IMAGE (NPI# 1609272038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609272038 |
| Entity Type | Organization |
| Organization Name | IDEAL IMAGE |
| Practice Address |
330 San Lorenzo Ave Coral Gables FL 33146-1846 |
| Practice Telephone | 3055073461 |
| Mailing Telephone | 3055073461 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | CHRISTINA GAUTIER (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 3055073461 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ARNP9196713 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1073978607 | Ideal Image | Nursing Care | 17504 Preserve Walk Ln, Tampa, FL 33647-3243 | 2015-12-26 |
| 1083008437 | Ideal Image | Clinic/Center | 1485 Pine Ridge Rd, Naples, FL 34109-2114 | 2015-03-24 |
| 1548551054 | Ideal Image | Clinic/Center | 3604 Springhurst Blvd, Louisville, KY 40241-4142 | 2011-05-02 |
| 1679878904 | Ideal Image | Nurse Practitioner | 4866 Big Island Dr, Ste #5, Jacksonville, FL 32246-7498 | 2011-01-18 |
| 1871985853 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, 2345, Coral Gables, FL 33146-1846 | 2015-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Ideal Image Branding Elements Inc | 115 Haas Drive, Englewood, OH 45322 |
| New York State Corporations | IDEAL IMAGE CONSTRUCTION CORP | 167 Division Ave, Brooklyn, Ny 11211 |
| System for Award Management (SAM) Entities | IDEAL IMAGE DENTISTRY & SPA | 600 E Main St, Mandan, ND 58554-3536 |
| New York State Corporations | IDEAL IMAGE DEVELOPMENT CORPORATION | 15 North Mill Street, Nyack, New York 10960 |
| Connecticut Business Registrations | IDEAL IMAGE DEVELOPMENT CORPORATION | 4830 W. Kennedy Blvd., Ste. 440, Tampa, FL 33609 |
| Massachusetts Corporations | IDEAL IMAGE DEVELOPMENT, INC. | 4830 W. Kennedy Blvd., Ste 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Group of Colorado, PLLC | 1 North Dale Mabry Hwy, Suite 1200, Yampa, FL 33609 |
| Connecticut Business Registrations | IDEAL IMAGE GROUP OF CONNECTICUT, LLC | 4830 West Kennedy Boulevard, Suite 440, Tampa, FL 33609 |
| Colorado Business Entities | Ideal Image Inc | 115 Haas Drive, Englewood, OH 45322 |
| Virginia Business Entities | IDEAL IMAGE INC. | 115 Haas Dr, Englewood, Ohio 45322-2845 |
| Street Address |
330 SAN LORENZO AVE |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013214907 | Marissa Tunon Piotrowski | Nurse Practitioner | 330 San Lorenzo Ave, Suite 2345, Coral Gables, FL 33146-1846 | 2011-02-11 |
| 1841825429 | Natasha Vives | Family Medicine | 330 San Lorenzo Ave, Coral Gables, FL 33146-1846 | 2020-03-04 |
| 1457836041 | Rita Baroudi | Nurse Practitioner | 330 San Lorenzo Ave, Coral Gables, FL 33146-1846 | 2018-09-28 |
| 1750754594 | Vanessa Nicole Lavina | Nurse Practitioner | 330 San Lorenzo Ave, #2345, Coral Gables, FL 33146-1846 | 2015-11-02 |
| 1871985853 | Ideal Image | Clinic/Center | 330 San Lorenzo Ave, 2345, Coral Gables, FL 33146-1846 | 2015-02-27 |
| 1689066185 | Christina Noel Gautier | Nurse Practitioner | 330 San Lorenzo Ave, 2345, Coral Gables, FL 33146-1846 | 2015-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| 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 |
|---|---|---|---|---|
| 1760098099 | Durban Medical Group | Clinic/Center | 5545 Sw 8th St Ste 101, Coral Gables, FL 33134-2276 | 2020-09-22 |
| 1841817038 | Apollo Health Network Inc. | Clinic/Center | 1116 Asturia Ave, Coral Gables, FL 33134-4734 | 2020-07-03 |
| 1679102917 | Sunshine Med Group, Inc | Clinic/Center | 3990 W Flagler St Ste 406, Coral Gables, FL 33134-1644 | 2020-04-08 |
| 1659907848 | Danny Ruiz | Clinic/Center | 3990 W Flagler St Ste 205, Coral Gables, FL 33134-1644 | 2020-03-19 |
| 1013541861 | Advance Wound Care Specialists, Inc. | Clinic/Center | 1 Alhambra Plz Ste 1410, Coral Gables, FL 33134-5247 | 2020-03-01 |
| 1841821592 | Physician Partners of South Florida, LLC | Clinic/Center | 901 Ponce De Leon Blvd Ste 303, Coral Gables, FL 33134-3059 | 2020-01-31 |
| 1356817571 | Csb Investments LLC | Clinic/Center | 4491 Sw 4th St, Coral Gables, FL 33134-1927 | 2018-10-15 |
| 1922548775 | El Encanto Medical Centers, Inc | Clinic/Center | 255 University Dr, 1st Floor, Coral Gables, FL 33134-6732 | 2017-02-27 |
| 1225577414 | Calidad Medical Center Inc | Clinic/Center | 1825 Ponce De Leon Blvd Ste 191, Coral Gables, FL 33134-4418 | 2017-02-21 |
| 1376974915 | Prime Medical & Rehab Services Inc | Clinic/Center | 23 Almeria, Ste. 4, Coral Gables, FL 33134 | 2013-12-09 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
Please comment or provide details below to improve the information on IDEAL IMAGE.
| 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.