Individual
DR. JOHN E. RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 E DIXIE AVE, LEESBURG, FL 34748-5925
(352) 323-5200
Mailing address
1736 LATTA CT, THE VILLAGES, FL 32162-2203
(352) 259-1180
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36335
MA
207P00000X
Emergency Medicine Physician
Primary
ME86795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273774400
—
FL
01
—
30238
BCBS
FL
01
—
P00290006
RAILROAD
—
Enumeration date
02/14/2006
Last updated
02/07/2025
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