FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC
Ambulatory Health at 167 St, Miami, FL

License number
Florida HCC7170
Category
Ambulatory Health
Type
Magnetic Resonance Imaging (MRI)
Owner
Name: MISS KRISTI LYNN HEBERT
Title: ADMINISTRATOR
Phone: (305) 770-4343
Address
Address
1 NE 167Th St, Miami, FL 33162
National Provider ID: 1457417156
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fountain Imaging of North Miami Beach LLC

1 NE 167 St, Miami, FL 33162

Status:
Inactive
Registration:
May 30, 2001
Phone:
(305) 770-4343 (Phone)
State ID:
L01000008569
Business type:
Florida Limited Liability
Manager:
Aaron Michael Friedeberg Manager, inactive
Agent:
Corporate Creations Network,Inc
SIC6:
807100 - Medical laboratory
Company size:
65

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