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ICC HEALTHCARE LLC NPI 1720210586


NPI Information

NPI: 1720210586
Provider Name: ICC HEALTHCARE LLC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1875 NW CORPORATE BLVD
SUITE 270
BOCA RATON, FL
ZIP 33431
Phone: (561) 997-0821
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ICC HEALTHCARE LLC is a critical care medicine internal medicine in Boca Raton, FL. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. ICC HEALTHCARE LLC NPI is 1720210586. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1875 NW CORPORATE BLVD
SUITE 270
BOCA RATON, FL
ZIP 33431-542
Phone: (561) 997-0821
Fax: (561) 997-0849

The provider's authorized official is Phillip William Ludwig .
The authorized official title is President and has the following contact phone number (561) 997-0821.

The enumeration date for this NPI number is 8/12/2009 and was last updated on 3/22/2013.


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
1207RC0200XInternal MedicineCritical Care MedicineYes

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

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