Organization
IKON PROFESSIONALS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT VALENCIA R.N.F.A. (SURGICAL ASSISTANT)
(305) 324-7444
Entity
Organization
Contact information
Practice address
1321 NW 14TH ST STE W205, MIAMI, FL 33125-1673
(305) 324-7444
Mailing address
1321 NW 14TH ST STE W205, MIAMI, FL 33125-1673
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
RN9205521
FL
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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