| Informed Improvement Inc | |
|
17100 Collins Ave Ste 216 Sunny Isles Beach FL 33160-3675 | |
| (305) 945-9595 | |
| Not Available |
| Full Name | Informed Improvement Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17100 Collins Ave Ste 216, Sunny Isles Beach, Florida |
| Authorized Official Name and Position | Nikita Bodoukhin (PRESIDENT) |
| Authorized Official Contact | 3059459595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informed Improvement Inc 17100 Collins Ave Ste 216 Sunny Isles Beach FL 33160-3675 Ph: (305) 945-9595 | Informed Improvement Inc 17100 Collins Ave Ste 216 Sunny Isles Beach FL 33160-3675 Ph: (305) 945-9595 |
| NPI Number | 1417643412 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 0042663213 |
|---|---|
| Medicare Enrollment ID | O20240124003486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417643412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Nikita Bodoukhin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477013639 PECOS PAC ID: 1951754126 Enrollment ID: I20240124004868 |
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