125Th Street Medical Clinic

LBN: 125St Nm Corp
125Th Street Medical Clinic is an health care organization with primary practice located at 505 Ne 125Th St , North Miami FL 33161-4718. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. 125St Nm Corp can be contacted via phone (786) 235-7240, or through Niznik, Igor via phone (786) 235-7240.

Contact Information

Primary practice address
505 Ne 125Th St North Miami FL 33161-4718
Phone: (786) 235-7240
Fax: (786) 235-7241
Website:
Map and Directions
Authorized official contact:
Name: Niznik, Igor
Phone: (786) 235-7240

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X HCC8934 Florida

Profile Details

NPI number 1396033080
LBN Legal business name 125St Nm Corp
DBA Doing business as 125Th Street Medical Clinic
Authorized official Niznik, Igor
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2011
Last updated Jul 14th, 2011 - about 13 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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