MICHAEL ALLEN ICENBERG

GAINESVILLE, FL
NPI1295024065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  5163299)
Enumeration Date2011-04-01
Last Update Date2011-04-01
Business Address
-- MICHAEL ALLEN ICENBERG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Mailing Address
-- MICHAEL ALLEN ICENBERG
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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