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125st Nm Corp — NPI 1396033080, North Miami, FL | NPI Central

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NPI 1396033080

OrganizationActive

125st Nm Corp

NPI 1396033080 · Specialist · North Miami, FL

Provider details

NPI number: 1396033080
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Organization subpart: No
Authorized official: Igor Niznik, Owner(786) 235-7240
License: HCC8934 (FL)

Specialties & taxonomies

SpecialistPrimary174400000XLicense HCC8934 (FL)
Other Service Providers

Practice location

505 Ne 125th St

North Miami, FL 33161-4718

Phone: (786) 235-7240

Fax: (786) 235-7241

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

505 Ne 125th St

North Miami, FL 33161-4718

Other names (DBA / former)

Doing business as: 125th Street Medical Clinic

Registry dates

Enumerated: 2011-07-14
Last updated: 2011-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.