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Organization

ICONIC MEDICAL SUPPLIES AND SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARRA RUSSELL (OWNER/PRESIDENT)
(561) 541-8586
Entity
Organization

Contact information

Practice address
1860 FOREST HILL BLVD STE 204, WEST PALM BEACH, FL 33406-6086
(561) 541-8586
Mailing address
1860 FOREST HILL BLVD STE 204, WEST PALM BEACH, FL 33406-6086
(561) 541-8586

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
01/18/2023
Last updated
07/03/2024
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