| NPI | 1255511499 |
|---|---|
| Former Legal Business Name | ICON MED TECH CORPORATION |
| Entity Type | Organization |
| Authorized Contact | GUSTAVO ADOLFO GARCIA President 305-222-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2008-04-16 |