Organization
ICON MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT M AMODIO (OWNER)
(305) 858-8845
Entity
Organization
Contact information
Practice address
232 SW 8TH ST, MIAMI, FL 33130-3514
(305) 858-8845
(305) 858-8840
Mailing address
PO BOX 12220, MIAMI, FL 33101-2220
(305) 858-8845
(305) 858-8840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
FL
207P00000X
Emergency Medicine Physician
ME75244
FL
207T00000X
Neurological Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
03/04/2021
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