Individual
MARIA ISABEL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38051 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7504
(813) 780-8085
(813) 355-5042
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 110766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004051900
—
FL
01
—
14FH0
FL BLUE
FL
01
—
592235385
UNITED HC
FL
01
—
8504884
CIGNA
FL
01
—
9898744
AETNA
FL
Enumeration date
05/22/2008
Last updated
08/01/2023
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