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NPI 1154653566 - General Practice - 208D00000X

NPI Details
NPI 1154653566
Enumeration Date 02/10/2010
Last Updated 02/10/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name NIKORN NIKORN
Position MEDICAL DIRECTOR
Phone (786) 316-3744
Fax
Practice Location
1421 SW 107TH AVE # 136
MIAMI FL, 33174-2526, US
Phone (786) 316-3744
Fax
Business Location
1421 SW 107TH AVE # 136
MIAMI FL, 33174-2526, US
Phone (786) 316-3744
Fax
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, A1a Image NPI is 1154653566, taxonomy code is 208D00000X A1a Image physically located at 1421 Sw 107th Ave # 136, Miami FL, 33174-2526. NPI Number 1033115704 has the healthcare provider type.

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1154653566 NPI number is provided on an as is basis without warranty of any kind. 1154653566 is maintained by the National Plan & Provider Enumeration System. The contents of A1a Image are for informational purposes only.