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Organization
SEACOAST MEDICAL ASSOCIATES
Active
Organization
SEACOAST MEDICAL ASSOCIATES
Active
Other names
Denise Ricketts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE RICKETTS MD (OWNER)
(786) 390-2290
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR STE A-102, PORT ST LUCIE, FL 34952-7545
(772) 249-2494
(772) 249-3113
Mailing address
5000 W MIDWAY RD UNIT 12127, FORT PIERCE, FL 34979-8007
(786) 390-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
12/28/2021
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