Organization
NICOLE IODICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE IODICE (OWNER)
(203) 858-3295
Entity
Organization
Contact information
Practice address
7300 CAMINO REAL STE 104, BOCA RATON, FL 33433-5509
(203) 858-3295
Mailing address
1239 HILLSBORO MILE APT 308, HILLSBORO BEACH, FL 33062-1335
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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