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Organization
ICON MEDICAL CENTERS, LLC
Active
Organization
ICON MEDICAL CENTERS, LLC
Active
Parent organization
ICON MEDICAL CENTERS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ICON MEDICAL CENTERS, LLC
Authorized official
EDWARD J LUCAS MD (MANAGER)
(352) 694-6331
Entity
Organization
Contact information
Practice address
3625 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6854
(954) 987-8400
(352) 694-6338
Mailing address
232 SW 8TH ST, MIAMI, FL 33130-3514
(305) 858-8845
(352) 694-6338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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