| Icare Mobile Medicine Llc | |
|
2525 Embassy Dr Ste 5 Hollywood FL 33026-4573 | |
| (786) 661-7830 | |
| Not Available |
| Full Name | Icare Mobile Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2525 Embassy Dr Ste 5, Hollywood, Florida |
| Authorized Official Name and Position | Nicholas Suite (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7866617830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Mobile Medicine Llc 2525 Embassy Dr Ste 5 Hollywood FL 33026-4573 Ph: (786) 661-7830 | Icare Mobile Medicine Llc 2525 Embassy Dr Ste 5 Hollywood FL 33026-4573 Ph: (786) 661-7830 |
| NPI Number | 1376215111 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5890193478 |
|---|---|
| Medicare Enrollment ID | O20211012002823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376215111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Nicholas Da Suite |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447330048 PECOS PAC ID: 8123915576 Enrollment ID: I20040303000028 |
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