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Individual

DR. BRYAN C HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5349 SW COLLEGE RD, SUITE 2, OCALA, FL 34474-5717
(352) 368-5858
(352) 368-2044
Mailing address
5349 SW COLLEGE RD, SUITE 2, OCALA, FL 34474-5717
(352) 368-5858
(352) 368-2044

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME47583
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME47583
FL
207ND0900X
Dermatopathology Physician
Primary
ME47583
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME47586
FL
207NS0135X
Procedural Dermatology Physician
ME47583
FL

Other

Enumeration date
10/13/2005
Last updated
09/11/2025
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