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Contact Information

125ST NM CORP
505 NE 125TH ST
NORTH MIAMI, FL33161-4718
 Phone: 786-235-7240
 Fax: 786-235-7241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for 125ST NM CORP

NPI Number 1396033080
LBN Legal business name 125ST NM CORP
Authorized official IGOR NIZNIK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2011
Last updated 07/14/2011 - About 15 years ago
Identifiers
FL License # HCC8934
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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