| Icare Mobile Wound Care Va Pllc | |
|
8300 Boone Blvd Vienna VA 22182-2626 | |
| (305) 701-9901 | |
| Not Available |
| Full Name | Icare Mobile Wound Care Va Pllc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 8300 Boone Blvd, Vienna, Virginia |
| Authorized Official Name and Position | Ivan Islamaj (CEO) |
| Authorized Official Contact | 8552473627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Mobile Wound Care Va Pllc 8300 Boone Blvd Vienna VA 22182-2626 Ph: () - | Icare Mobile Wound Care Va Pllc 8300 Boone Blvd Vienna VA 22182-2626 Ph: (305) 701-9901 |
| NPI Number | 1932992856 |
|---|---|
| Provider Enumeration Date | 05/23/2025 |
| Last Update Date | 05/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932992856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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