Individual
DR. BRUCE LAWRENCE RICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 SW 57TH AVE, STE 225E, SOUTH MIAMI, FL 33143-5528
(305) 665-3990
Mailing address
7800 SW 57TH AVE, STE 225E, SOUTH MIAMI, FL 33143-5528
(305) 665-3990
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 45907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044909100
—
FL
Enumeration date
01/06/2006
Last updated
08/19/2010
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