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ICON MEDICAL CENTERS, LLC
NPI 1073108692
Chiropractor in Hollywood, FL

Active since March 05, 2021CLIA 10D2305596 · Waiver
3625 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021(954) 987-8400(352) 694-6338 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Icon Medical Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICON MEDICAL CENTERS, LLC (NPI 1073108692) is a healthcare organization registered as a chiropractor in Hollywood, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Edward J Lucas, Manager, as its authorized official.

NPPES Registry Identity

NPI1073108692
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameICON MEDICAL CENTERS, LLC
Location Address3625 HOLLYWOOD BLVDHollywood, FL 33021-6854
Mailing Address232 Sw 8th StMiami, FL 33130-3514 · (305) 858-8845 · Fax (352) 694-6338
Phone(954) 987-8400
Fax(352) 694-6338
Organization SubpartYes
Authorized OfficialEdward J LucasManager · (352) 694-6331
Enumeration DateMarch 5, 2021
NPPES CertifiedFebruary 5, 2021
✔ NPI 1073108692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3625 HOLLYWOOD BLVD, Hollywood, FL 33021
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2305596

Icon Medical Centers LLC · Miami, FL
Active · expires Jun 3, 2028
CLIA Number10D2305596
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorEdward Lucas
Laboratory Phone(305) 858-8845
Laboratory LocationIcon Medical Centers LLC232 SW 8th Street, Miami, FL 33130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASY LIFE MEDICAL SUPPLY, INC
Durable Medical Equipment & Medical Supplies
3625 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Broward County (954) 986-4294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icon Medical Centers, LLC's NPI number?

The NPI number for Icon Medical Centers, LLC is 1073108692. It was assigned to this organization in the NPPES registry on March 5, 2021.

Where is Icon Medical Centers, LLC located?

Icon Medical Centers, LLC is located at 3625 Hollywood Blvd, Hollywood, FL 33021. The listed phone number is (954) 987-8400.

What is Icon Medical Centers, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Icon Medical Centers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2305596) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Icon Medical Centers, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Icon Medical Centers, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Icon Medical Centers, LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.