OrganizationActive
125th Street Nm Corp
NPI 1255633046 · Multi-Specialty Clinic/Center · North Miami, FL
Provider details
- NPI number
- 1255633046
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Igor Niznik, President/Owner
- License
- PMC20 (FL)
Practice location
505 Ne 125th St
North Miami, FL 33161-4718
Phone: (786) 235-7240
Fax: (786) 235-7241
Mailing address
505 Ne 125th St
North Miami, FL 33161-4718
Registry dates
- Enumerated
- 2010-11-30
- Last updated
- 2010-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.