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Organization
ICONIC CLINICAL RESEARCH, INC
Active
Organization
ICONIC CLINICAL RESEARCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET PEREZ ALVAREZ APRN, RN, RBT (ADMINISTRATOR)
(786) 803-6168
Entity
Organization
Contact information
Practice address
351 NW 42ND AVE STE 204, MIAMI, FL 33126-5670
(786) 894-0155
(786) 894-0156
Mailing address
351 NW 42ND AVE STE 204, MIAMI, FL 33126-5670
(786) 894-0155
(786) 894-0156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QR1100X
Research Clinic/Center
—
NULL
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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