| NPI | 1427527266 |
|---|---|
| Doing Business As | ICONN HEALTH |
| Entity Type | Organization |
| Authorized Contact | AMIR GHAEENZADEH Corporate Counsel 813-482-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2018-11-23 |