Individual
MARIA CAROLINA RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11921 SARADRIENNE LN, BONITA SPRINGS, FL 34135-5911
(239) 344-2353
(239) 992-4984
Mailing address
PO BOX 919771, ORLANDO, FL 32891-0001
(239) 278-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME131574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020978900
—
FL
01
—
7SHTK
BCBS
FL
Enumeration date
07/22/2014
Last updated
07/21/2022
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