Individual
DR. NICHOLAS JOSEPH RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
Mailing address
1807 W WATROUS AVE, TAMPA, FL 33606-3042
(609) 504-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME138850
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
07/10/2019
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