Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Allen Icenberg

Individual provider Licensed Practical Nurse · NPI 1295024065

Michael Allen Icenberg is a Licensed Practical Nurse in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

4300 SW 13th St
Gainesville, FL 32608-4006
Phone: (352) 374-5600
Fax: (352) 374-5608
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 5163299 (FL)

Record details

NPI number1295024065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2011
Last updated in NPPESApril 1, 2011
Mailing address4300 Sw 13th St, Gainesville, FL 32608-4006

Other providers in Gainesville