Healthcare Provider Details

I. General information

NPI: 1053220616
Provider Name (Legal Business Name): PEEK A BOO BABY 3D/4D LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 DEL PRADO BLVD S STE 210
CAPE CORAL FL
33904-7211
US

IV. Provider business mailing address

3501 DEL PRADO BLVD S STE 210
CAPE CORAL FL
33904-7211
US

V. Phone/Fax

Practice location:
  • Phone: 239-745-5587
  • Fax:
Mailing address:
  • Phone: 239-745-5587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE DOLD
Title or Position: OWNER
Credential: RDMS
Phone: 239-745-5587