Individual
DR. JUAN FELIPE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8713
(813) 259-8792
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
ME114644
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007393400
—
FL
01
—
14NT2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/17/2009
Last updated
10/27/2020
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