OrganizationActive
Intensive Care Consortium Inc
NPI 1124284344 · Specialist · Loxahatchee, FL
Provider details
- NPI number
- 1124284344
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Clara Gomez, Credentialing(786) 621-3897
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone: (954) 224-9029
Fax: (786) 621-3897
Street-level locationGet directions
Mailing address
13001 Southern Blvd
Loxahatchee, FL 33470-9203
Registry dates
- Enumerated
- 2008-08-07
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.