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INTENSIVE CARE CONSORTIUM INC NPI 1629019062


NPI Information

NPI: 1629019062
Provider Name: INTENSIVE CARE CONSORTIUM INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
20900 BISCAYNE BLVD
AVENTURA, FL
ZIP 33180
Phone: (561) 997-0821
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INTENSIVE CARE CONSORTIUM INC is a specialist in Aventura, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INTENSIVE CARE CONSORTIUM INC NPI is 1629019062. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20900 BISCAYNE BLVD
AVENTURA, FL
ZIP 33180
Phone: (561) 997-0821
Fax: (561) 997-0849

The provider's authorized official is John Laverty .
The authorized official title is Vp and has the following contact phone number (615) 507-2312.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 6/14/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2174400000XSpecialistFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1272561400MEDICAIDFLORIDA
2DE6501OTHERFLORIDARAILROAD MEDICARE
397242OTHERFLORIDABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.