Provider Demographics
NPI:1952492159
Name:NICKIES SERVICES INC
Entity Type:Organization
Organization Name:NICKIES SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-VICTORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-333-1607
Mailing Address - Street 1:1140 WEST 50TH STREET
Mailing Address - Street 2:302
Mailing Address - City:HIAELEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-826-4446
Mailing Address - Fax:305-826-4406
Practice Address - Street 1:1140 WEST 50TH STREET
Practice Address - Street 2:302
Practice Address - City:HIAELEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-826-4446
Practice Address - Fax:305-826-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNOT APPLICABLE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMEDICARE NUMBER PENDMedicare ID - Type UnspecifiedPENDING NUMBER