Ideal Image

Specialist · Naples, FL

Organization Active NPI

NPI number 1255789368

Practice location

1485 Pine Ridge Road Unit #1
Naples, FL 34109
Phone
(239) 596-2005
Fax
(239) 596-1090

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NPI record

NPI
1255789368
Entity type
Organization (Type 2)
Enumeration date
May 31, 2016
Last updated
May 31, 2016
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 3063932 FL

Mailing address

1485 Pine Ridge Rd
Naples, FL 34109-2114
Phone
(239) 596-2005
Fax
(239) 596-1090

Authorized official

Name
Dr. Kriston Kent, M.D
Title
Medical Director Ideal Image
Phone
(239) 514-7888

About Ideal Image

Ideal Image is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1485 Pine Ridge Road Unit #1, Naples, FL 34109. The NPI number 1255789368 was assigned on May 31, 2016 and the record was last updated on May 31, 2016.

Ideal Image lists a license in the registry: #3063932 (FL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kriston Kent, M.D, Medical Director Ideal Image.

Frequently asked questions

What is the NPI number of Ideal Image?

The NPI number is 1255789368.

What is the phone number of Ideal Image?

The phone number listed for the practice location is (239) 596-2005.

Where is Ideal Image located?

1485 Pine Ridge Road Unit #1, Naples, FL 34109.

What is the taxonomy code for Ideal Image?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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