Healthcare Provider Details

I. General information

NPI: 1053742726
Provider Name (Legal Business Name): US HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2013
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9198 NW 8TH AVE
MIAMI FL
33150-2004
US

IV. Provider business mailing address

1966 NE 123RD ST SUITE 210
NORTH MIAMI FL
33181-2868
US

V. Phone/Fax

Practice location:
  • Phone: 212-935-9400
  • Fax:
Mailing address:
  • Phone: 212-935-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number800027313
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ROBERT NIZNIK
Title or Position: CEO
Credential:
Phone: 212-935-9400