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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