Individual
MS. NICA PHILISTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 NE 151ST ST, NORTH MIAMI BEACH, FL 33162-5848
(786) 715-4283
Mailing address
1780 NE 147TH ST, MIAMI, FL 33181-1004
(786) 715-4283
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
10/18/2025
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