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Michael Allen Icenberg
Licensed Practical Nurse in Gainesville, Florida
NPI 1295024065

Michael Allen Icenberg is a Licensed Practical Nurse based in Gainesville, FL. Michael Allen Icenberg practices in Gainesville, FL. The NPI Number for Michael Allen Icenberg is 1295024065 and holds a License No. 5163299 (Florida).

The current practice location address for Michael Allen Icenberg is 4300 Sw 13Th St, Gainesville, FL and can be reached out via phone at 352-374-5600 and via fax at 352-374-5608.

Location: 4300 Sw 13Th St, Gainesville, FL, 32608-4006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295024065
Provider Name
Michael Allen Icenberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
4300 Sw 13Th St, Gainesville, FL, 32608-4006
Phone Number
352-374-5600
Fax Number
352-374-5608
Provider Enumeration Date
04/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
352-374-5608
person
Provider Business Mailing Address Details
Address
4300 Sw 13Th St
City
Gainesville
State
Florida
Zip
32608-4006
Phone Number
352-374-5600
Fax Number
352-374-5608
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
5163299 (Florida)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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