Individual
DR. ERIC D WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3030 HARDEN BLVD, LAKELAND, FL 33803
(863) 687-1250
(863) 687-1258
Mailing address
1324 LAKELAND HILLS BLV.D, ATTN: MANAGED CARE DEPT., LAKELAND, FL 33805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9310
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME118027
FL
Other
Enumeration date
12/19/2006
Last updated
07/28/2022
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