IC PROFESSIONAL SERVICES INC. NPI 1841939758

NPI Information

NPI: 1841939758
Provider Name: IC PROFESSIONAL SERVICES INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 10D2264081

Address:
1200 NW 78TH AVE STE 215
DORAL, FL
ZIP 33126
Phone: (786) 452-8963
Get Directions

IC PROFESSIONAL SERVICES INC. is a nephrology internal medicine in Doral, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. IC PROFESSIONAL SERVICES INC. NPI is 1841939758. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 NW 78TH AVE STE 215
DORAL, FL
ZIP 33126-890
Phone: (786) 452-8963
Fax: (305) 675-2727

The provider's authorized official is Iliana Camejo .
The authorized official title is Owner and has the following contact phone number (786) 452-8963.

The CLIA number assigned to this NPI record is 10D2264081 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 12/22/2022.

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
1	207Q00000X	Family Medicine				No
2	207RN0300X	Internal Medicine	Nephrology			Yes

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: 4/28/2024

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