# IMIC INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407001902
- **Authorized official:** DR. BORIS NIKOLOV MD (CEO)
- **Authorized official phone:** (305) 235-9920

## Contact information

- **Practice address:** 15202 SW 80TH AVE, PALMETTO BAY, FL 33157-2202
- **Practice address phone:** (305) 235-9920
- **Practice address fax:** (305) 675-7836
- **Mailing address:** 15202 SW 80TH AVE, PALMETTO BAY, FL 33157-2202
- **Mailing address phone:** (305) 235-9920
- **Mailing address fax:** (305) 675-7836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/25/2008