| NPI | 1255633046 |
|---|---|
| Other Name | 125TH STREET MEDICAL AND URGENT CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | IGOR NIZNIK President/Owner 786-235-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL PMC20) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |