Individual
DR. NICKOLAS GORANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 NW 10TH AVE STE 1104A, MIAMI, FL 33136-1000
(305) 243-3828
(305) 243-0143
Mailing address
1400 NW 10TH AVE STE 1104A, MIAMI, FL 33136-1000
(305) 243-3828
(305) 243-0143
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME164945
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
01/28/2024
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