ICON MED TECH CORPORATION NPI 1255511499

NPI Information

  • NPI: 1255511499
  • Provider Name: ICON MED TECH CORPORATION
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Former Legal Business Name: ICON MED TECH CORPORATION
  • Address: 175 FONTAINEBLEAU BLVD
    2 K 6
    MIAMI, FL
    ZIP 33172
  • Phone: (305) 222-9164

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NPI Details

ICON MED TECH CORPORATION is a durable medical equipment medical supplies in Miami, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ICON MED TECH CORPORATION NPI is 1255511499. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Icon Med Tech Corporation.

The provider's business location address is:

175 FONTAINEBLEAU BLVD
2 K 6
MIAMI, FL
ZIP 33172
Phone: (305) 222-9164

The provider's authorized official is Gustavo Adolfo Garcia .
The authorized official title is President and has the following contact phone number (305) 222-9164.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 4/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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