Organization
GREGORY D HICKS M.D. P.A-PLASTIC & RECONSRUCTIVE SURGERY
Active
Other names
Professional Plastic surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY D HIELES MD (PRESIDENT)
(941) 925-3633
Entity
Organization
Contact information
Practice address
3801 BEE RIDGE ROAD, SUITE 1, SARASOTA, FL 34233
(941) 925-3633
(941) 925-1435
Mailing address
3801 BEE RIDGE ROAD, SUITE 1, SARASOTA, FL 34233
(941) 925-3633
(941) 925-1435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME42730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634409-00
—
FL
Enumeration date
11/20/2006
Last updated
07/02/2008
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