Icon Med Tech Corporation

NPI 1255511499 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1255511499
Enumeration Date 11/05/2007
Last Updated 04/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GUSTAVO ADOLFO GUSTAVO
Position PRESIDENT
Phone (305) 222-9164
Fax
Practice Location
175 FONTAINEBLEAU BLVD
2 K 6
MIAMI FL, 33172, US
Phone (305) 222-9164
Fax
Business Location
175 FONTAINEBLEAU BLVD
2 K 6
MIAMI FL, 33172-7018, US
Phone (305) 222-9164
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Icon Med Tech Corporation NPI is 1255511499, taxonomy code is 332B00000X Icon Med Tech Corporation physically located at 175 Fontainebleau Blvd, Miami FL, 33172. NPI Number 1033115704 has the healthcare provider type.

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1255511499 NPI number is provided on an as is basis without warranty of any kind. 1255511499 is maintained by the National Plan & Provider Enumeration System. The contents of Icon Med Tech Corporation are for informational purposes only.