FOUNTAIN IMAGING OF PEMBROKE PINES,LLC
Ambulatory Health at University Dr, Hollywood, FL

License number
Florida HCC7166
Category
Ambulatory Health
Type
Magnetic Resonance Imaging (MRI)
Owner
Name: KRISTI LYNN HEBERT
Title: ADMINISTRATOR
Phone: (954) 983-4266
Address
Address
2221 N University Dr SUITE A, Hollywood, FL 33024
National Provider ID: 1114083847
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 Pembroke Pines, LLC

2221 N University Dr, Hollywood, FL 33024

Status:
Inactive
Registration:
Jun 26, 2002
State ID:
L02000016064
Business type:
Florida Limited Liability
Manager:
Aaron Michael Friedeberg Manager, inactive
Agent:
Corporate Creations Network,Inc

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