Ideal Image

LBN: Ideal Image
Ideal Image is an health care organization with primary practice located at 4866 Big Island Dr Ste #5, Jacksonville FL 32246-7498. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Ideal Image can be contacted via phone (904) 652-0652, or through Glassman, Richard Dean via phone (904) 652-0652.

Contact Information

Primary practice address
4866 Big Island Dr Ste #5 Jacksonville FL 32246-7498
Phone: (904) 652-0652
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glassman, Richard Dean
Phone: (904) 652-0652

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9193543 Florida

Profile Details

NPI number 1679878904
LBN Legal business name Ideal Image
DBA Doing business as
Authorized official Glassman, Richard Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2011
Last updated Jan 18th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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