FOUNTAIN IMAGING OF PEMBROKE PINES,LLC (NPI# 1114083847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083847 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN IMAGING OF PEMBROKE PINES,LLC |
| Other Organization Name | FOUNTAIN IMAGING |
| Practice Address |
2221 N University Dr Suite A Pembroke Pines FL 33024-3603 |
| Practice Telephone | 9549834266 |
| Practice Fax Number | 9549834233 |
| Mailing Telephone | 9549834266 |
| Mailing Fax Number | 9549834233 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTI LYNN HEBERT (ADMINISTRATOR) |
| Authorized Official Telephone | 9549834266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
HCC7166 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FOUNTAIN IMAGING | Doing Business As Name - Organization |
| Street Address |
2221 N UNIVERSITY DR SUITE A |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003832528 | Joel Brian Slingbaum | Dentist | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2006-07-15 |
| 1639560543 | Fredericka Salbo | Dentist | 2221 N University Dr, Pembroke Pines, FL 33024-3603 | 2015-02-13 |
| 1891190591 | Alliance Spine & Joint II, Inc. | Clinic/Center | 2221 N University Dr, Suite B, Pembroke Pines, FL 33024-3603 | 2014-10-24 |
| 1174757082 | Quantum Imaging Holdings, LLC | Clinic/Center | 2221 N University Dr, Suite A, Pembroke Pines, FL 33024-3603 | 2009-05-06 |
| 1922252386 | Endodontics Unlimited Pa | Clinic/Center | 2221 N University Dr, Suite D, Pembroke Pines, FL 33024-3603 | 2008-11-12 |
| 1114037660 | Robert Powell | Dentist | 2221 N University Dr, Ste D, Pembroke Pines, FL 33024-3603 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730583675 | Stephanie Preston | Clinic/Center | 2221 N University Dr Ste A, Pembroke Pines, FL 33024-3603 | 2014-10-21 |
| 1073761367 | A1 Imaging II of Pembroke Pines LLC | Clinic/Center | 330 S Flamingo Rd, Pembroke Pines, FL 33027-1770 | 2008-08-29 |
| 1124111414 | Pines Radiology Center Inc | Clinic/Center | 9050 Pines Blvd Ste 170, Pembroke Pines, FL 33024-6400 | 2006-10-02 |
| 1932102191 | Medfund LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2005-05-23 |
| 1609273325 | Empire Imaging, Inc | Clinic/Center | 2221 N University Dr Ste A, Pembroke Pines, FL 33024-3603 | 2014-11-24 |
| 1174757082 | Quantum Imaging Holdings, LLC | Clinic/Center | 2221 N University Dr, Suite A, Pembroke Pines, FL 33024-3603 | 2009-05-06 |
| 1407094394 | A1 Imaging Centers LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2009-01-30 |
| 1336308386 | A1 Imaging of Pembroke Pines LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2008-06-05 |
| 1700917788 | Pines Diagnostic Testing Group Inc | Clinic/Center | 10001 Pines Blvd, Pembroke Pines, FL 33024-6136 | 2007-03-08 |
| 1427189406 | Pembroke West Diagnostic Imaging Inc | Clinic/Center | 10001 Pines Blvd, Pembroke Pines, FL 33024-6136 | 2007-03-08 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on FOUNTAIN IMAGING OF PEMBROKE PINES,LLC.
| 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.