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Organization

ICC HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP WILLIAM LUDWIG MD (PRESIDENT)
(561) 997-0821
Entity
Organization

Contact information

Practice address
1875 NW CORPORATE BLVD, SUITE 270, BOCA RATON, FL 33431-8542
(561) 997-0821
(561) 997-0849
Mailing address
1875 NW CORPORATE BLVD, SUITE 270, BOCA RATON, FL 33431
(561) 997-0821
(561) 997-0849

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/12/2009
Last updated
03/22/2013
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