125TH STREET NM CORP NPI 1255633046

NPI Information

NPI: 1255633046
Provider Name: 125TH STREET NM CORP

Other Name: 125TH STREET MEDICAL AND URGENT CARE CENTER

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
505 NE 125TH ST
NORTH MIAMI, FL
ZIP 33161
Phone: (786) 235-7240
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125TH STREET NM CORP is a multi-specialty clinic center in North Miami, FL. 125TH STREET NM CORP NPI is 1255633046. The provider is registered as an organization entity type.
The provider Other Name Is 125th Street Medical And Urgent Care Center.

The provider's business location address is:

505 NE 125TH ST
NORTH MIAMI, FL
ZIP 33161-718
Phone: (786) 235-7240
Fax: (786) 235-7241

The provider's authorized official is Igor Niznik .
The authorized official title is President/owner and has the following contact phone number (786) 235-7240.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 11/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	PMC20	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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