Individual
JAMES M KRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 630-6250
Mailing address
PO BOX 100247, GAINESVILLE, FL 32610-0247
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
02564
KY
208800000X
Urology Physician
Primary
OS15922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64939267
—
KY
Enumeration date
03/16/2006
Last updated
11/02/2021
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