Iconic Health Llc

LBN: Iconic Health Llc
Iconic Health Llc is an health care organization with primary practice located at 1898 W Hillsboro Blvd Ste H , Deerfield Beach FL 33442-1434. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Iconic Health Llc can be contacted via phone (954) 571-9392, or through Ravelli, Sarah via phone (330) 277-1131.

Contact Information

Primary practice address
1898 W Hillsboro Blvd Ste H Deerfield Beach FL 33442-1434
Phone: (954) 571-9392
Fax: (954) 289-4888
Website:
Map and Directions
Authorized official contact:
Name: Ravelli, Sarah ARNP
Phone: (330) 277-1131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1700460383
LBN Legal business name Iconic Health Llc
DBA Doing business as
Authorized official Ravelli, Sarah ARNP
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2021
Last updated May 19th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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