125Th Street Nm Corp
LBN: 125Th Street Nm Corp
125Th Street Nm Corp is an health care organization with primary practice located at 505 Ne 125Th St , North Miami FL 33161-4718. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Physical Therapy. Allopathic & Osteopathic Physicians / Addiction Psychiatry is the primary health care specialty.
125Th Street Nm Corp can be contacted via phone (954) 271-0485, or through Douthat, Renee via phone (954) 271-0485.
Contact Information
Primary practice address
505 Ne 125Th St
North Miami FL 33161-4718
Phone: (954) 271-0485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | PMC20 | Florida |
Profile Details
| NPI number | 1619352283 |
|---|---|
| LBN Legal business name | 125Th Street Nm Corp |
| DBA Doing business as | |
| Authorized official | Douthat, Renee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Apr 7th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619352283 | NPPES |
| Florida | Other | HCC8934 | ACHA |
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