Organization
BRYAN HICKS MD PA
Active
Organization
BRYAN HICKS MD PA
Active
Other names
Marion Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CRAIG HICKS MD (PRESIDENT)
(352) 368-5858
Entity
Organization
Contact information
Practice address
5349 SW COLLEGE RD, STE 2, OCALA, FL 34474-5717
(352) 368-5858
(352) 368-2044
Mailing address
5349 SW COLLEGE RD, STE 2, OCALA, FL 34474-5717
(352) 368-5858
(352) 368-2044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME47583
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME47583
FL
207ND0900X
Dermatopathology Physician
ME47583
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME47583
FL
207NS0135X
Procedural Dermatology Physician
ME47583
FL
Other
Enumeration date
09/20/2006
Last updated
04/15/2008
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