Organization
ICON MED TECH CORPORATION
Active
Other names
ICON MED TECH CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO ADOLFO GARCIA (PRESIDENT)
(305) 222-9164
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, 2 K 6, MIAMI, FL 33172
(305) 222-9164
Mailing address
175 FONTAINEBLEAU BLVD, 2 K 6, MIAMI, FL 33172-7018
(305) 222-9164
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
04/16/2008
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