Individual
EDUARDO ICAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8950 N KENDALL DR STE 410W, MIAMI, FL 33176-2127
(786) 871-6800
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME157395
FL
Other
Enumeration date
05/15/2012
Last updated
09/26/2022
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