Mikhail, Miriam Niveen

Mikhail, Miriam Niveen is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: Radiology Department, Saint Augustine FL 32086-5784. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Mikhail, Miriam Niveen can be contacted via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: Radiology Department Saint Augustine FL 32086-5784
Phone: (904) 819-4398
Fax: (904) 819-4976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME85250 Florida

Profile Details

NPI number 1386627669
LBN Legal business name Mikhail, Miriam Niveen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386627669 NPPES
Florida MEDICAID 265126200
Florida Other P00442328

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