125TH STREET NM CORP
Ambulatory Health at 125 St, Miami, FL

License number
Florida PMC20
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: MR. IGOR NIZNIK
Title: PRESIDENT/OWNER
Phone: (786) 235-7240
Address
Address
505 NE 125Th St, Miami, FL 33161
National Provider ID: 1255633046
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about 125TH STREET NM CORP at bizstanding.com

125TH STREET NM CORP

505 NE 125 St, Miami, FL 33161

Industry:
Commercial Physical Research
Registration:
Mar 9, 2009
State ID:
P09000021819
Business type:
Florida Profit Corporation
President:
Igor Niznik (President), 505 NE 125 St, Miami, FL 33161 (Physical)
Agent:
Niznik, Igor,505 NE 125 St, Miami, FL 33161 (Physical)
EIN:
26-4412607

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