125Th Street Pain Clinic

LBN: 125Th Street Nm Corp
125Th Street Pain Clinic is an health care organization with primary practice located at 505 Ne 125Th St , North Miami FL 33161-4718. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Pain is the primary health care specialty. 125Th Street 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
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PMC 20 Florida
Ambulatory Health Care Facilities / Pain 261QP3300X PMC 20 Florida

Profile Details

NPI number 1578879375
LBN Legal business name 125Th Street Nm Corp
DBA Doing business as 125Th Street Pain Clinic
Authorized official Niznik, Igor
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2010
Last updated Aug 31st, 2010 - 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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