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Organization
ICONIC IMAGING, INC.
Active
Organization
ICONIC IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAGI SHAKED (PRESIDENT)
(954) 773-9598
Entity
Organization
Contact information
Practice address
150 SW 12TH AVE STE 101B, POMPANO BEACH, FL 33069-3298
(954) 773-9598
(954) 773-9588
Mailing address
815 SE 1ST AVE STE B, HALLANDALE BEACH, FL 33009-7102
(954) 773-9598
(954) 773-9588
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
FL
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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