Provider Demographics
NPI:1598534067
Name:MEDKICK INC
Entity Type:Organization
Organization Name:MEDKICK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SADIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BIZANTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-753-4452
Mailing Address - Street 1:640 CLEMATIS ST # 2733
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5306
Mailing Address - Country:US
Mailing Address - Phone:305-753-4452
Mailing Address - Fax:855-551-5425
Practice Address - Street 1:313 DATURA ST STE 200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-5405
Practice Address - Country:US
Practice Address - Phone:305-753-4452
Practice Address - Fax:855-551-5425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty