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Organization
ICON MEDICAL, PLLC
Active
Organization
ICON MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE OLSEN DO (AUTHORIZED OFFICIAL)
(941) 999-0241
Entity
Organization
Contact information
Practice address
1251 RUDDER LN, OSPREY, FL 34229-9104
(941) 999-0241
(908) 867-0506
Mailing address
1251 RUDDER LN, OSPREY, FL 34229-9104
(941) 999-0241
(908) 867-0506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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