NPIMap

Organization Active NPI

Ideal Image of Florida, LLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1851641211
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9235462 Issued in FL
Legal business name
IDEAL IMAGE OF FLORIDA, LLC
Practice address
8314 Mills Dr
Miami, FL 33183-4806
Phone
(786) 398-4420
Fax
(786) 353-0844
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Ms. Leslie M Abascal, ARNP-CNPI 1033511399
Title
Provider
Phone
(786) 398-4420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9235462 FL Primary

Addresses

Primary practice location

8314 Mills Dr
Miami, FL 33183-4806

Mailing address

8314 Mills Dr
Miami, FL 33183-4806
Phone (786) 398-4420

National Provider Directory

National Provider Directory
Tax ID family
Ideal Image3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8314 Mills Dr
Miami, FL 33183
Phone (786) 398-4420

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1851641211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834806",
            "telephone_number": "786-398-4420",
            "fax_number": "786-353-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834806",
            "telephone_number": "786-398-4420",
            "fax_number": "786-353-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL IMAGE OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "ABASCAL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "786-398-4420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "9235462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.