# HEALTHY ICC, LLC

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

## Provider details

- **NPI number:** 1588486302
- **Authorized official:** SANDEEP BAJAJ MD (PRESIDENT)
- **Authorized official phone:** (407) 215-6320

## Contact information

- **Practice address:** 483 N SEMORAN BLVD STE 103, WINTER PARK, FL 32792-3800
- **Practice address phone:** (800) 478-2478
- **Practice address fax:** (321) 274-0322
- **Mailing address:** 483 N SEMORAN BLVD STE 205, WINTER PARK, FL 32792-3800
- **Mailing address phone:** (407) 215-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2024
- **Last updated:** 10/31/2024