| NPI | 1154487668 |
|---|---|
| Other Name | FOUNTAIN IMAGING |
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN HEBERT Administrator 305-770-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |