Organization
STEPHEN T. HICKEY, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE HICKEY R.N. (DOCTOR'S WIFE)
(904) 242-0422
Entity
Organization
Contact information
Practice address
335 11TH AVE N, JACKSONVILLE BEACH, FL 32250-7251
(904) 242-0422
(904) 242-0241
Mailing address
335 11TH AVE N, JACKSONVILLE BEACH, FL 32250-7251
(904) 242-0422
(904) 242-0241
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0055724
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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