FOUNTAIN IMAGING OF WEST PALM BEACH
Ambulatory Health in West Palm Beach, FL

License number
Florida HCC4508
Category
Ambulatory Health
Type
Magnetic Resonance Imaging (MRI)
Owner
Name: KRISTI LYNN HEBERT
Title: ADMINISTRATOR
Phone: (561) 688-7309
Address
Address
5841 Corporate Way Suite #101, West Palm Beach, FL 33407
National Provider ID: 1619033354
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FOUNTAIN IMAGING OF WEST PALM BEACH at bizstanding.com

Fountain Imaging of West Palm Beach, Inc

Miami, FL  -  West Palm Beach, FL

Status:
Inactive
Doing business as:
Fountain Imaging of West Palm Beach, LLC
Registration:
Jun 24, 2002
Addresses:
88 NE 168 St, Miami, FL 33162
5841 Corporate Way, West Palm Beach, FL 33407
State ID:
P02000069085
Business type:
Domestic for Profit Corporation
President, Director, Manager:
Aaron Friedeberg President, Director, Manager, inactive

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