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NPI 1578879375

OrganizationActive

125th Street Nm Corp

NPI 1578879375 · Pain Clinic/Center · North Miami, FL

Provider details

NPI number: 1578879375
Entity type: Organization
Primary specialty: Pain Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Igor Niznik, President
License: PMC 20 (FL)

Practice location

505 Ne 125th St

North Miami, FL 33161-4718

Phone: (786) 235-7240

Fax: (786) 235-7241

More FL providers

Mailing address

505 Ne 125th St

North Miami, FL 33161-4718

Registry dates

Enumerated: 2010-08-31
Last updated: 2010-08-31

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

125th Street Nm Corp — NPI 1578879375, North Miami, FL | NPI Central