Organization
HEALTHY ICC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP BAJAJ MD (PRESIDENT)
(407) 215-6320
Entity
Organization
Contact information
Practice address
483 N SEMORAN BLVD STE 103, WINTER PARK, FL 32792-3800
(800) 478-2478
(321) 274-0322
Mailing address
483 N SEMORAN BLVD STE 205, WINTER PARK, FL 32792-3800
(407) 215-6320
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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