125TH STREET NM CORP NPI 1578879375

NPI Information

NPI: 1578879375
Provider Name: 125TH STREET NM CORP

Doing Business As: 125TH STREET PAIN CLINIC

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
505 NE 125TH ST
NORTH MIAMI, FL
ZIP 33161
Phone: (786) 235-7240
Get Directions

125TH STREET NM CORP is a pain clinic center in North Miami, FL. 125TH STREET NM CORP NPI is 1578879375. The provider is registered as an organization entity type.
The provider Is Doing Business As 125th Street Pain Clinic.

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 and has the following contact phone number (786) 235-7240.

The enumeration date for this NPI number is 8/31/2010 and was last updated on 8/31/2010.

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	261QP2000X	Clinic/Center	Physical Therapy	PMC 20	FLORIDA	No
2	261QP3300X	Clinic/Center	Pain	PMC 20	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

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