Provider Demographics
NPI:1598432312
Name:ARMAND, NICHAEL (SA-C,IMG)
Entity Type:Individual
Prefix:DR
First Name:NICHAEL
Middle Name:
Last Name:ARMAND
Suffix:
Gender:M
Credentials:SA-C,IMG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 NW 148TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4243
Mailing Address - Country:US
Mailing Address - Phone:786-376-1643
Mailing Address - Fax:
Practice Address - Street 1:331 NW 148TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-4243
Practice Address - Country:US
Practice Address - Phone:786-376-1643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI20-525246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant