Fountain Imaging Group,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOUNTAIN IMAGING GROUP,LLC

Practice address

1 NE 167TH St
North Miami Beach, FL 33162-3402

Phone

(305) 770-4343

Fax

(305) 770-4373

NPI assigned

Dec 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristi Lynn Hebert

Title

Administrator

Phone

(305) 770-4343

Specialties & licenses 1

Addresses

Other names 1

• FOUNTAIN IMAGING Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154487668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NE 167TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623402",
            "telephone_number": "305-770-4343",
            "fax_number": "305-770-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN IMAGING GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-770-4343"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUNTAIN IMAGING",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tehila Fonfeder, ARNP, CNM
• Michelle R Fonte, DOULA
• Footrx, Inc.
• Forbes & Associates, PA
• Laurie Jane Forbes, LCSW
• Fountain Imaging of North Miami Beach,LLC
• Rachel Fox
• Daphney Francis, FNP-BC, NP-C
• Irnande Francis
• Jasmin Francis

• Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.