Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nickolas Goranov, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205579190

Dr. Nickolas Goranov, MD is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 NW 10th Ave Ste 1104A
Miami, FL 33136-1000
Phone: (305) 243-3828
Fax: (305) 243-0143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME164945 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205579190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESJanuary 28, 2024
Certification dateJanuary 28, 2024

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