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Michael Icenberg
NPI 1295024065 · Licensed Practical Nurse · Gainesville, FL
Michael Icenberg is a Licensed Practical Nurse provider in Gainesville, FL (NPI 1295024065).
Provider details
- NPI number
- 1295024065
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5163299 (FL)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4300 Sw 13th St
Gainesville, FL 32608-4006
Phone: (352) 374-5600
Fax: (352) 374-5608
Street-level locationGet directions
Mailing address
4300 Sw 13th St
Gainesville, FL 32608-4006
Registry dates
- Enumerated
- 2011-04-01
- Last updated
- 2011-04-01
Frequently asked questions
- What is Michael Icenberg's NPI number?
- Michael Icenberg's National Provider Identifier (NPI) is 1295024065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Icenberg's specialty?
- Michael Icenberg is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Michael Icenberg located?
- Michael Icenberg's practice location on file with NPPES is 4300 Sw 13th St, Gainesville, FL 32608-4006.
- What is Michael Icenberg's phone number?
- The practice phone number listed in the NPPES registry for Michael Icenberg is (352) 374-5600.
- Is Michael Icenberg's NPI active?
- Yes — Michael Icenberg's NPI (1295024065) is active in the NPPES registry as of the last update on 2011-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.