# ICON MEDICAL CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497062012
- **Authorized official:** VINCENT M AMODIO (OWNER)
- **Authorized official phone:** (305) 858-8845

## Contact information

- **Practice address:** 232 SW 8TH ST, MIAMI, FL 33130-3514
- **Practice address phone:** (305) 858-8845
- **Practice address fax:** (305) 858-8840
- **Mailing address:** PO BOX 12220, MIAMI, FL 33101-2220
- **Mailing address phone:** (305) 858-8845
- **Mailing address fax:** (305) 858-8840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | FL | — |
| 207P00000X | Emergency Medicine Physician | ME75244 | FL | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2010
- **Last updated:** 03/04/2021