Individual
BOBBIE JO HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9323 BLIND PASS RD, ST PETE BEACH, FL 33706-1317
(727) 864-2684
Mailing address
9323 BLIND PASS RD, ST PETE BEACH, FL 33706-1317
(727) 864-2684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015000
—
FL
Enumeration date
12/17/2018
Last updated
12/17/2018
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