FOUNTAIN IMAGING OF PLANTATION (NPI# 1881750529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881750529 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN IMAGING OF PLANTATION |
| Other Organization Name | FOUNTAIN IMAGING |
| Practice Address |
301 Nw 84th Ave Suite #100 Plantation FL 33324-1807 |
| Practice Telephone | 9548881816 |
| Practice Fax Number | 9544765238 |
| Mailing Telephone | 9548881816 |
| Mailing Fax Number | 9544765238 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KRISTI LYNN HEBERT (ADMINISTRATOR) |
| Authorized Official Telephone | 9548881816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
HCC4211 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FOUNTAIN IMAGING | Doing Business As Name - Organization |
| Street Address |
301 NW 84TH AVE SUITE #100 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748091 | Jon David Donshik | Orthopaedic Surgery | 301 Nw 84th Ave, Ste 303, Plantation, FL 33324-1807 | 2005-05-27 |
| 1366055972 | Joseph Lam | Pharmacist | 301 Nw 84th Ave, Plantation, FL 33324-1807 | 2020-08-25 |
| 1336693449 | Partners In Integrated Care, Inc. | Internal Medicine | 301 Nw 84th Ave, Suite 301, Plantation, FL 33324-1807 | 2016-08-05 |
| 1548651771 | Metcare of Plantation | Family Medicine | 301 Nw 84th Ave, Suite 101, Plantation, FL 33324-1807 | 2015-02-10 |
| 1326272220 | Mark F. Herman, Pa | Chiropractor | 301 Nw 84th Ave, Suite 301, Plantation, FL 33324-1807 | 2009-05-06 |
| 1649454208 | Westside Medical Associates Pa | Internal Medicine | 301 Nw 84th Ave, Suite 201, Plantation, FL 33324-1807 | 2007-12-19 |
| 1003945684 | West Broward Hand and Ortho, LLC | Orthopaedic Surgery | 301 Nw 84th Ave, Suite 303, Plantation, FL 33324-1807 | 2007-03-02 |
| 1295832822 | Mark F Herman | Chiropractor | 301 Nw 84th Ave, Suite 301, Plantation, FL 33324-1807 | 2006-09-17 |
| 1962427450 | Humana Pharmacy Inc | Pharmacy | 301 Nw 84th Ave, Plantation, FL 33324-1807 | 2006-07-13 |
| 1740215284 | Malcolm Marvin Major | Internal Medicine | 301 Nw 84th Ave, Suite 201, Plantation, FL 33324-1807 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935340 | Tropical Imaging Centers, LLC | Clinic/Center | 8320 W Sunrise Blvd Ste 109, Plantation, FL 33322-5434 | 2018-03-14 |
| 1861640765 | A1 Imaging II of Plantation LLC | Clinic/Center | 801 South University Dr, Suite C136-a, Plantation, FL 33324 | 2008-09-04 |
| 1659529758 | A1 Imaging IIi of Plantation LLC | Clinic/Center | 801 S University Dr, Suite K103-a, Plantation, FL 33324-3336 | 2008-09-03 |
| 1720236078 | A1 Imaging Ct of Plantation LLC | Clinic/Center | 801 South University Drive, Suite K103-a, Plantation, FL 33324 | 2008-08-28 |
| 1780794800 | Central Magnetic Imaging Open Mri of Plantation Ltd | Clinic/Center | 150 Nw 70 Ave, Ste 1, Plantation, FL 33317 | 2006-08-30 |
| 1467487066 | Fort Lauderdale Mobile Ultrasound Inc | Clinic/Center | 7301 Nw 4th St, Suite 107, Plantation, FL 33317-2234 | 2006-07-11 |
| 1437152543 | Medfund LLC | Clinic/Center | 150 N University Dr, Ste 110, Plantation, FL 33324-2004 | 2005-05-23 |
| 1740428630 | A1 Imaging Centers LLC | Clinic/Center | 150 N University Dr, Suite 110, Plantation, FL 33324-2004 | 2009-01-30 |
| 1689833642 | A1 Imaging of Plantation LLC | Clinic/Center | 150 N University Dr, Suite 110, Plantation, FL 33324-2004 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700176 | Mri Associates of Crystal River | Clinic/Center | 6136 W Gulf To Lake Hwy, Crystal River, FL 34429-7558 | 2020-11-04 |
| 1477168714 | Indago Imaging | Clinic/Center | 3716 W 12th Ave, Hialeah, FL 33012-4126 | 2020-09-14 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1548880784 | Lee County Mri Inc | Clinic/Center | 2215 Winkler Ave Ste G, Fort Myers, FL 33901-9150 | 2020-04-17 |
| 1053942383 | Musculoskeletal Institute Chartered | Clinic/Center | 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655-4405 | 2020-01-27 |
| 1407497647 | Proscan Imaging Naples LLC | Clinic/Center | 8340 Sierra Meadows Blvd Ste 103, Naples, FL 34113-7328 | 2019-09-30 |
| 1851940100 | Express Medical Imaging, LLC | Clinic/Center | 6300 Saint Johns Ave, Palatka, FL 32177-3884 | 2019-09-10 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1205497260 | South Miami Open Mri LLC | Clinic/Center | 6161 Sunset Dr Ste A, South Miami, FL 33143-5045 | 2019-06-21 |
| 1215592829 | Advance Scans & Imaging Center Inc. | Clinic/Center | 2453 N State Road 7, Lauderdale Lakes, FL 33313-3723 | 2019-05-08 |
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| City | PLANTATION |
| Zip Code | 33324 |
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| 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.