Imic Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

IMIC INC.

Practice address

15202 SW 80TH Ave
Palmetto Bay, FL 33157-2202

Phone

(305) 235-9920

Fax

(305) 675-7836

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Boris Nikolov, MD

Title

Ceo

Phone

(305) 235-9920

Specialties & licenses 2

Addresses

Tax ID family

Imic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imic Inc

  • Clinical Medical Laboratory
  • Palmetto Bay, FL
  • NPI 1720515554
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1407001902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 SW 80TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572202",
            "telephone_number": "305-235-9920",
            "fax_number": "305-675-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15202 SW 80TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572202",
            "telephone_number": "305-235-9920",
            "fax_number": "305-675-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "NIKOLOV",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-235-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh J Connolly MD PA
• Amalia Hurtado Toribio, TCM
• Andrea Hurtado, M.S.
• Nora Ibarra, CBHCM-P
• Imic Inc
• Innovaionclinical Trials Inc. (Innovation Community Mental Health)
• Innovation Clinical Trials Inc (Innovation Community Mental Health)
• Integral Medical Center Palmetto LLC
• Intercare Case Management Services Inc.
• Joseph Dubois Inzinna, M.D.

• Case Management Agency in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.