Individual
MR. CLEVELAND ABBE RICKARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1820 58TH AVE STE 110, VERO BEACH, FL 32966-4675
(772) 257-3200
(772) 257-0187
Mailing address
1820 58TH AVE STE 110, VERO BEACH, FL 32966-4675
(772) 257-3200
(772) 257-0187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55-0030638
VT
363A00000X
Physician Assistant
Primary
PA9112293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000156
—
VT
Enumeration date
07/19/2006
Last updated
03/11/2021
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