Ic Med Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

IC MED SUPPLY INC

Practice address

5730 Bowden Rd
Ste 103
Jacksonville, FL 32216-6104

Phone

(904) 733-3333

Fax

(800) 732-0860

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos Gamez

Title

President

Phone

(904) 733-3333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1760560809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD",
            "address_2": "STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166104",
            "telephone_number": "904-733-3333",
            "fax_number": "800-732-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 BOWDEN RD",
            "address_2": "STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166104",
            "telephone_number": "904-733-3333",
            "fax_number": "800-732-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IC MED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "GAMEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-733-3333"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Shoukry S Ibrahim, M.D.
• Michel Ibrahim, MD
• Mohamed Ibrahim, DO
• Morhaf Ibrahim, MD
• Samar A Ibrahim
• Ic Medical Services, P.a.
• Icare Provider Services
• Icats Lakeland LLC
• Razel B. Icban, PHYSICAL THERAPIST
• Cassie G. Ice, R.PH.

• Oxygen Equipment & Supplies (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.