Individual
JONATHAN ROBERT HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 UNDERWOOD ST, ORLANDO, FL 32806-1110
(361) 550-4491
Mailing address
1937 SOUTH BLVD, MAITLAND, FL 32751-3561
(361) 550-4491
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43371
FL
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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