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Individual

MR. PAUL ALAN FICKEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 366-4673
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 399-4673

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101272379
VA
208600000X
Surgery Physician
125.069695
IL
208600000X
Surgery Physician
Primary
ME163995
FL

Other

Enumeration date
03/22/2016
Last updated
03/27/2024
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