Icon Medical, Pllc

NPI #1134019268 in Osprey, Florida

Provider Information

NPI Number: 1134019268
Entity Type: Organization
Organization Name: Icon Medical, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 9, 2025
Last Updated: Jul 9, 2025

Practice Location

Address: 1251 RUDDER LN
City: Osprey
State: Florida
ZIP Code: 34229-9104
Phone: (941) 999-0241

Authorized Official

Name: JOSEPHINE OLSEN, DO
Title: AUTHORIZED OFFICIAL
Phone: (941) 999-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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