IC PROFESSIONAL SERVICES INC.
NPI 1841939758
Family Medicine in Miami, FL

Active since May 31, 2022CLIA 10D2264081 · Waiver
4995 NW 72ND AVE STE 201, MIAMI, FL 33166(786) 452-8963(305) 675-2727 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Dec 22, 2022 (2 updates tracked since 2022).

About Ic Professional Services Inc. NPPES

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

IC PROFESSIONAL SERVICES INC. (NPI 1841939758) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Iliana Camejo, Owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1841939758
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIC PROFESSIONAL SERVICES INC.
Location Address4995 NW 72ND AVE STE 201Miami, FL 33166-5643
Mailing Address4995 Nw 72nd Ave Ste 201Miami, FL 33166-5643 · (786) 452-8963 · Fax (305) 675-2727
Fax(305) 675-2727
Organization SubpartNo
Authorized OfficialIliana CamejoOwner/aprn · (305) 978-2972
Enumeration DateMay 31, 2022
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1841939758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
4995 NW 72ND AVE STE 201, Miami, FL 33166

Other Identifiers 1

Medicaid114503900FL

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

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 10D2264081

Ic Professional Services Inc · Miami, FL
Active · expires Jul 10, 2028
CLIA Number10D2264081
Laboratory TypePractitioner Other
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorIliana Camejo
Laboratory Phone(786) 452-8963
Laboratory LocationIc Professional Services Inc4995 NW 72 Ave S #201, Miami, FL 33166
CLIA data matches this NPI record on: 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.

Nurse Practitioner (Primary Care)
4995 NW 72ND AVE STE 201
MIAMI, FL 33166

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 Ic Professional Services Inc.'s NPI number?

The NPI number for Ic Professional Services Inc. is 1841939758. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Ic Professional Services Inc. located?

Ic Professional Services Inc. is located at 4995 NW 72nd Ave Ste 201, Miami, FL 33166. The listed phone number is (786) 452-8963.

What is Ic Professional Services Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ic Professional Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2264081) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ic Professional Services Inc. accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and Molina Healthcare list Ic Professional Services Inc. 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 Ic Professional Services Inc. was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.