OrganizationIcare360 Imaging LlcRadiologyAllopathic & Osteopathic PhysiciansPractice Address7323 Green Slope Dr Ste 101, Zephyrhills, FL 33541-1311(813) 692-7947PECOS EnrollmentBased on the most recent information from CMS, provider Icare360 Imaging Llc 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 2 days ago.Profile DetailsProvider ID1073353462Provider TypeOrganizationFull NameIcare360 Imaging LlcSubpartNoEnumeration Date5/31/2024Last Updated12/13/2024Contact InformationPractice LocationPractice Address7323 Green Slope Dr Ste 101, Zephyrhills, FL 33541-1311Phone(813) 692-7947Fax(813) 692-7937Mailing LocationMailing Address17812 Saint Lucia Isle Dr, Tampa, FL 33647-2714Phone(813) 692-7947Fax(813) 692-7937Authorized OfficialNameRaxwal, Vinod K (Owner)Phone(813) 692-7947Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer