Individual
MARY JOYCE RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1432 NE 105TH ST, MIAMI SHORES, FL 33138-2114
(224) 216-7749
(847) 835-9946
Mailing address
1432 NE 105TH ST, MIAMI SHORES, FL 33138-2114
(224) 216-7749
(847) 835-9946
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
13878
NC
207N00000X
Dermatology Physician
30465
NC
207N00000X
Dermatology Physician
Primary
LL-909
FL
Other
Enumeration date
09/20/2006
Last updated
02/18/2022
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