OrganizationIcon Med Tech Corporation(<Unavail>)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address175 Fontainebleau Blvd, 2 K 6, Miami, FL 33172(305) 222-9164PECOS EnrollmentBased on the most recent information from CMS, provider Icon Med Tech Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255511499Provider TypeOrganizationFull NameIcon Med Tech CorporationOther Name<Unavail>SubpartNoEnumeration Date11/5/2007Last Updated4/16/2008Contact InformationPractice LocationPractice Address175 Fontainebleau Blvd, 2 K 6, Miami, FL 33172Phone(305) 222-9164FaxUnlisted FaxMailing LocationMailing Address175 Fontainebleau Blvd, 2 K 6, Miami, FL 33172-7018Phone(305) 222-9164FaxUnlisted FaxAuthorized OfficialNameGarcia, Gustavo Adolfo (President)Phone(305) 222-9164Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer