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Organization
POB ASSOCIATES, PL
Active
Organization
POB ASSOCIATES, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL HICKEY D.M.D. (OWNER)
(772) 359-8962
Entity
Organization
Contact information
Practice address
1657 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5428
(772) 337-4115
(772) 337-4116
Mailing address
1010 SE KITCHING COVE LN, PORT ST LUCIE, FL 34952-5902
(772) 359-8962
(800) 408-7001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1997
FL
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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