| Icare Mobile Medicine Llc | |
|
1150 Nw 72nd Ave Ste Ph-1 Miami FL 33126-1936 | |
| (786) 661-7830 | |
| (701) 701-9902 |
| Full Name | Icare Mobile Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 Nw 72nd Ave Ste Ph-1, Miami, Florida |
| Authorized Official Name and Position | Ivan Islamaj (PA-C) |
| Authorized Official Contact | 2165026577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Mobile Medicine Llc 1150 Nw 72nd Ave Ph 1 Miami FL 33126-1920 Ph: (786) 661-7830 | Icare Mobile Medicine Llc 1150 Nw 72nd Ave Ste Ph-1 Miami FL 33126-1936 Ph: (786) 661-7830 |
| NPI Number | 1376215111 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 06/12/2026 |
| Medicare PECOS PAC ID | 5890193478 |
|---|---|
| Medicare Enrollment ID | O20211012002823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376215111 | NPI | - | NPPES |
| Provider Name | Nicholas Da Suite |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447330048 PECOS PAC ID: 8123915576 Enrollment ID: I20040303000028 |
| Provider Name | Katia Lauzarique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851038491 PECOS PAC ID: 2961878798 Enrollment ID: I20221019003350 |
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