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Individual

DR. JOHN C CRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6100 KENNERLY RD, SUITE 101, JACKSONVILLE, FL 32216-4368
(904) 739-0050
(904) 443-2888
Mailing address
6100 KENNERLY RD, SUITE 101, JACKSONVILLE, FL 32216-4368
(904) 739-0050
(904) 443-2888

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME29382
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15627
BCBS
FL
01
211397
AVMED
FL
01
4007101004
CIGNA
FL
01
4045147
AETNA
FL
01
P00473370
RAILROAD MEDICARE
FL
Enumeration date
09/01/2005
Last updated
02/19/2015
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